Provider Demographics
NPI:1043823487
Name:ZEN WELLNESS CARE
Entity Type:Organization
Organization Name:ZEN WELLNESS CARE
Other - Org Name:ZEN WELLNESS CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZENNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-655-9627
Mailing Address - Street 1:905 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3713
Mailing Address - Country:US
Mailing Address - Phone:860-655-9627
Mailing Address - Fax:
Practice Address - Street 1:660 PROSPECT AVE STE 100
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4230
Practice Address - Country:US
Practice Address - Phone:860-999-4431
Practice Address - Fax:860-322-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty