Provider Demographics
NPI:1336801042
Name:KNOWLES, ZACHARY THOMAS (LCAS)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:THOMAS
Last Name:KNOWLES
Suffix:
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3710 UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6208
Mailing Address - Country:US
Mailing Address - Phone:919-906-4390
Mailing Address - Fax:919-287-2707
Practice Address - Street 1:3710 UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6208
Practice Address - Country:US
Practice Address - Phone:919-906-4390
Practice Address - Fax:919-287-2707
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27528101YA0400X
NCC0180141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)