Provider Demographics
NPI:1710113212
Name:MARK H. ZIELINSKI, MD, LLC
Entity Type:Organization
Organization Name:MARK H. ZIELINSKI, MD, LLC
Other - Org Name:MARK H ZIELINSKI, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-292-1800
Mailing Address - Street 1:9456 JEFFERSON HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2883
Mailing Address - Country:US
Mailing Address - Phone:225-292-1800
Mailing Address - Fax:225-292-1900
Practice Address - Street 1:9456 JEFFERSON HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2883
Practice Address - Country:US
Practice Address - Phone:225-292-1800
Practice Address - Fax:225-292-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09052R101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAF34727Medicare UPIN
LA5R123Medicare PIN