Provider Demographics
NPI:1790569184
Name:ZALENSKI, TAYLOR ANASTASIA
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANASTASIA
Last Name:ZALENSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8818 JONATHON PL
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-1080
Mailing Address - Country:US
Mailing Address - Phone:260-446-7311
Mailing Address - Fax:
Practice Address - Street 1:8818 JONATHON PL
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:IN
Practice Address - Zip Code:46774-1080
Practice Address - Country:US
Practice Address - Phone:260-446-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health