Provider Demographics
NPI:1538949482
Name:NERIOS, PRISCILLA ZAPATA (LPC)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ZAPATA
Last Name:NERIOS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:
Other - Last Name:ZAPATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4001 DONAHO DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3005
Mailing Address - Country:US
Mailing Address - Phone:361-946-2256
Mailing Address - Fax:469-535-9009
Practice Address - Street 1:5030 HOLLY RD STE A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4759
Practice Address - Country:US
Practice Address - Phone:619-462-2563
Practice Address - Fax:469-535-9009
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional