Carol Fleurette Sopht Zamora, LPC
Individual provider Active NPI Counselor · Bremo Bluff, VA
NPI 1720870751 · NPPES record last updated May 17, 2025
Key facts
- NPI
- 1720870751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0701014873 (VA)
- Practice address
- 265 S Creek LN
Bremo Bluff, VA 23022-2314 - Phone
- (540) 920-7314
- NPI assigned
- May 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701014873 | VA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701014873 | VA | Yes |
Addresses
Primary practice location
265 S Creek LN
Bremo Bluff, VA 23022-2314
Mailing address
265 S Creek LN
Bremo Bluff, VA 23022-2314
Phone (540) 920-7314
Other providers in Bremo Bluff, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.