Provider Demographics
NPI:1144428426
Name:ZENTARSKI, ROBERT GENE (MS, CAP, CCJS, MAC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GENE
Last Name:ZENTARSKI
Suffix:
Gender:M
Credentials:MS, CAP, CCJS, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22723 GLYNDON POINT RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-8711
Mailing Address - Country:US
Mailing Address - Phone:813-909-9012
Mailing Address - Fax:
Practice Address - Street 1:11707 CLUB DR
Practice Address - Street 2:MENTAL HEALTH OUTPATIENT CLINIC
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5521
Practice Address - Country:US
Practice Address - Phone:813-631-7126
Practice Address - Fax:813-631-7128
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 1457101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)