Provider Demographics
NPI:1851049241
Name:ZIA HEALING AND WELLNESS LLC
Entity Type:Organization
Organization Name:ZIA HEALING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADREA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ZALESKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC-S, NCC
Authorized Official - Phone:850-619-5607
Mailing Address - Street 1:8361 COLORADO SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-4083
Mailing Address - Country:US
Mailing Address - Phone:850-619-5607
Mailing Address - Fax:
Practice Address - Street 1:5353 N UNION BLVD FL 2
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2065
Practice Address - Country:US
Practice Address - Phone:185-061-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty