Provider Demographics
NPI:1932942927
Name:VIA, ZKHIA (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:ZKHIA
Middle Name:
Last Name:VIA
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 E ACADEMY ST STE 205
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2382
Mailing Address - Country:US
Mailing Address - Phone:919-635-6202
Mailing Address - Fax:
Practice Address - Street 1:602 E ACADEMY ST STE 205
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2382
Practice Address - Country:US
Practice Address - Phone:919-635-6202
Practice Address - Fax:919-289-1713
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP020140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health