Provider Demographics
NPI:1720701337
Name:ZENWAR WELLNESS INC
Entity Type:Organization
Organization Name:ZENWAR WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED CLINICAL SOCIAL WORK
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:WYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,LCSW
Authorized Official - Phone:904-657-1533
Mailing Address - Street 1:157 MAHOGANY BAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-6949
Mailing Address - Country:US
Mailing Address - Phone:904-657-1533
Mailing Address - Fax:
Practice Address - Street 1:157 MAHOGANY BAY DR
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-6949
Practice Address - Country:US
Practice Address - Phone:904-657-1533
Practice Address - Fax:833-799-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty