Provider Demographics
| NPI: | 1386473593 |
|---|---|
| Name: | ZEBRA PSYCHIATRIC AND WELLNESS SERVICES, LLC |
| Entity type: | Organization |
| Organization Name: | ZEBRA PSYCHIATRIC AND WELLNESS SERVICES, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | NP |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | EMILY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | REES |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 614-582-9805 |
| Mailing Address - Street 1: | 1747 OLENTANGY RIVER RD # 1034 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43212-1453 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 171 CHARRING CROSS DR S |
| Practice Address - Street 2: | |
| Practice Address - City: | WESTERVILLE |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43081-2862 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 740-240-0614 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-07-29 |
| Last Update Date: | 2024-09-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Single Specialty |