Provider Demographics
NPI:1366595373
Name:ZIMMER, RITA LOIS (LMHC)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:LOIS
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 SW 16TH TER
Mailing Address - Street 2:UNIT 1-D
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3267
Mailing Address - Country:US
Mailing Address - Phone:239-671-0241
Mailing Address - Fax:
Practice Address - Street 1:615 CAPE CORAL PKWY W
Practice Address - Street 2:SUITE 201
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6593
Practice Address - Country:US
Practice Address - Phone:239-671-0241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health