Provider Demographics
NPI:1851671093
Name:ZUREICK, PATRICIA LYNN (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:ZUREICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 VICTORY PKWY
Mailing Address - Street 2:STE 500
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2874
Mailing Address - Country:US
Mailing Address - Phone:513-451-6159
Mailing Address - Fax:
Practice Address - Street 1:2330 VICTORY PARKWAY AVE
Practice Address - Street 2:MERCY PROFESSIONAL SERVICES SUITE 500
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206
Practice Address - Country:US
Practice Address - Phone:513-221-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0900509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional