Provider Demographics
NPI:1295198521
Name:ZELEXA, LLC
Entity Type:Organization
Organization Name:ZELEXA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNEER
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSA
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:734-466-5150
Mailing Address - Street 1:31153 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2134
Mailing Address - Country:US
Mailing Address - Phone:734-717-4292
Mailing Address - Fax:
Practice Address - Street 1:31153 PLYMOUTH RD STE 105
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2134
Practice Address - Country:US
Practice Address - Phone:734-717-4292
Practice Address - Fax:734-466-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty