Provider Demographics
NPI:1043905631
Name:LEBRON, ZULERIE (CSW)
Entity type:Individual
Prefix:MRS
First Name:ZULERIE
Middle Name:
Last Name:LEBRON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 JOHNS LAKE RD APT 934
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6688
Mailing Address - Country:US
Mailing Address - Phone:939-777-9264
Mailing Address - Fax:
Practice Address - Street 1:1701 PARK CENTER DR STE 210
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6235
Practice Address - Country:US
Practice Address - Phone:407-730-3837
Practice Address - Fax:407-730-3869
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty