Provider Demographics
NPI:1598411209
Name:ZENERTREE PSYCHOLOGICAL TREATMENT CENTER INC.
Entity Type:Organization
Organization Name:ZENERTREE PSYCHOLOGICAL TREATMENT CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-391-4182
Mailing Address - Street 1:3528 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-2531
Mailing Address - Country:US
Mailing Address - Phone:805-391-4182
Mailing Address - Fax:800-351-3245
Practice Address - Street 1:3528 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-2531
Practice Address - Country:US
Practice Address - Phone:805-391-4182
Practice Address - Fax:800-351-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty