Provider Demographics
NPI:1194917245
Name:ZACCHEO, ROBERT (MED LMHC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:ZACCHEO
Suffix:
Gender:M
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-0265
Mailing Address - Country:US
Mailing Address - Phone:772-220-3439
Mailing Address - Fax:772-220-3484
Practice Address - Street 1:735 COLORADO AVE
Practice Address - Street 2:SUITE6
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3031
Practice Address - Country:US
Practice Address - Phone:772-220-3439
Practice Address - Fax:772-220-3484
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health