Provider Demographics
NPI:1336500180
Name:ZEON, ARTHENA
Entity Type:Individual
Prefix:
First Name:ARTHENA
Middle Name:
Last Name:ZEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 TREE CORNERS PKWY
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3123
Mailing Address - Country:US
Mailing Address - Phone:678-521-8970
Mailing Address - Fax:770-559-4140
Practice Address - Street 1:1107 TREE CORNERS PKWY
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3123
Practice Address - Country:US
Practice Address - Phone:678-521-8970
Practice Address - Fax:770-559-4140
Is Sole Proprietor?:No
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16020295101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health