Provider Demographics
NPI:1700340809
Name:KELLY L ZALEWSKI LMSW LLC
Entity Type:Organization
Organization Name:KELLY L ZALEWSKI LMSW LLC
Other - Org Name:OASIS WELL BEING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-738-0398
Mailing Address - Street 1:24410 HARPER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1237
Mailing Address - Country:US
Mailing Address - Phone:586-738-0398
Mailing Address - Fax:
Practice Address - Street 1:24410 HARPER AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1237
Practice Address - Country:US
Practice Address - Phone:586-738-0398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty