Provider Demographics
NPI:1629969654
Name:GEROUX, ZOIYA MAHLIN
Entity type:Individual
Prefix:
First Name:ZOIYA
Middle Name:MAHLIN
Last Name:GEROUX
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69646 ROSE RD
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-9717
Mailing Address - Country:US
Mailing Address - Phone:269-221-9508
Mailing Address - Fax:
Practice Address - Street 1:305 E CHICAGO RD
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1801
Practice Address - Country:US
Practice Address - Phone:517-365-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst