Provider Demographics
NPI:1669873303
Name:ZERENITY WELLNESS COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:ZERENITY WELLNESS COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MBA
Authorized Official - Phone:956-337-5541
Mailing Address - Street 1:707 E CALTON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3642
Mailing Address - Country:US
Mailing Address - Phone:956-729-1504
Mailing Address - Fax:956-725-5942
Practice Address - Street 1:707 E CALTON RD STE 205
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3642
Practice Address - Country:US
Practice Address - Phone:956-729-1504
Practice Address - Fax:956-725-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty