Provider Demographics
NPI:1649921297
Name:ZEN KAT, LLC
Entity type:Organization
Organization Name:ZEN KAT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR MENTAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-200-8972
Mailing Address - Street 1:PO BOX 6043
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24068-6043
Mailing Address - Country:US
Mailing Address - Phone:540-200-8972
Mailing Address - Fax:
Practice Address - Street 1:3104 GLADE RD
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-1948
Practice Address - Country:US
Practice Address - Phone:540-200-8972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health