Provider Demographics
NPI:1588472682
Name:BUCHANAN, ZEANNA (LMSW)
Entity type:Individual
Prefix:MISS
First Name:ZEANNA
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17015 LAGUNA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4339
Mailing Address - Country:US
Mailing Address - Phone:912-318-6324
Mailing Address - Fax:
Practice Address - Street 1:17015 LAGUNA SPRINGS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-4339
Practice Address - Country:US
Practice Address - Phone:912-318-6324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126110104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker