Provider Demographics
NPI:1790402675
Name:BE ZENTERED, LLC
Entity Type:Organization
Organization Name:BE ZENTERED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:BEATRIZ
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-205-2627
Mailing Address - Street 1:595 BLUE PARK RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-6618
Mailing Address - Country:US
Mailing Address - Phone:407-205-2627
Mailing Address - Fax:
Practice Address - Street 1:595 BLUE PARK RD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-6618
Practice Address - Country:US
Practice Address - Phone:386-624-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty