Provider Demographics
NPI:1710739727
Name:ZION COUNSELING AND CONSULTATION LLC
Entity Type:Organization
Organization Name:ZION COUNSELING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-340-9466
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98046-0844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16000 BOTHELL EVERETT HWY STE 200
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1796
Practice Address - Country:US
Practice Address - Phone:707-340-9466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)