Provider Demographics
NPI:1639826605
Name:ZEN'N'ISH, LLC
Entity Type:Organization
Organization Name:ZEN'N'ISH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:CHANTEL
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC, CRC
Authorized Official - Phone:423-437-5454
Mailing Address - Street 1:PSC 79 BOX 98
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09714-0001
Mailing Address - Country:US
Mailing Address - Phone:423-437-5454
Mailing Address - Fax:
Practice Address - Street 1:1603 COMMERCE ST
Practice Address - Street 2:#3231
Practice Address - City:CHEYENNE
Practice Address - State:WA
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:423-437-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty