Provider Demographics
NPI:1053062794
Name:ZEN-C THERAPY
Entity Type:Organization
Organization Name:ZEN-C THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WELANSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIFLE-LENO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-298-7379
Mailing Address - Street 1:923 NE 108TH ST
Mailing Address - Street 2:
Mailing Address - City:BISCAYNE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7315
Mailing Address - Country:US
Mailing Address - Phone:786-298-7379
Mailing Address - Fax:
Practice Address - Street 1:1620 NE 148TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-1021
Practice Address - Country:US
Practice Address - Phone:786-298-7379
Practice Address - Fax:888-890-6583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty