Provider Demographics
NPI:1073170155
Name:KRISTI ZOLA, PLLC
Entity Type:Organization
Organization Name:KRISTI ZOLA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-274-1981
Mailing Address - Street 1:6 MORGAN RD W
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05866-6615
Mailing Address - Country:US
Mailing Address - Phone:802-274-1981
Mailing Address - Fax:
Practice Address - Street 1:18 TULIP STREET
Practice Address - Street 2:
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851-0585
Practice Address - Country:US
Practice Address - Phone:802-274-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health