Provider Demographics
NPI:1457119216
Name:Z HOLISTIC CONNECTIONS LLC
Entity Type:Organization
Organization Name:Z HOLISTIC CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:847-834-9647
Mailing Address - Street 1:276 E DEERPATH STE 647
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1940
Mailing Address - Country:US
Mailing Address - Phone:847-834-9647
Mailing Address - Fax:
Practice Address - Street 1:1121 GAVIN CT
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-2664
Practice Address - Country:US
Practice Address - Phone:847-445-6608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty