Provider Demographics
NPI:1508631177
Name:THE ZEN DEN COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:THE ZEN DEN COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:NYELAH
Authorized Official - Last Name:BECKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:404-442-5742
Mailing Address - Street 1:10 GLENLAKE PARKWAY
Mailing Address - Street 2:SUITE 130 #1084
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:404-442-5742
Mailing Address - Fax:404-567-6663
Practice Address - Street 1:10 GLENLAKE PARKWAY
Practice Address - Street 2:SUITE 130 #1084
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:404-442-5742
Practice Address - Fax:404-567-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-23
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)