Provider Demographics
NPI:1851100242
Name:ZAR, SHANZE
Entity type:Individual
Prefix:
First Name:SHANZE
Middle Name:
Last Name:ZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 LONG REACH DR APT 7203
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4194
Mailing Address - Country:US
Mailing Address - Phone:210-392-5312
Mailing Address - Fax:
Practice Address - Street 1:20351 HIGHWAY 6 STE B
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3882
Practice Address - Country:US
Practice Address - Phone:979-233-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90124101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional