Provider Demographics
NPI:1841992013
Name:ZAHN, BENITA (CHWC, NBC-HWC)
Entity type:Individual
Prefix:
First Name:BENITA
Middle Name:
Last Name:ZAHN
Suffix:
Gender:F
Credentials:CHWC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SOUTHWOODS BLVD STE 17
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2564
Mailing Address - Country:US
Mailing Address - Phone:518-292-0000
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHWOODS BLVD STE 17
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2564
Practice Address - Country:US
Practice Address - Phone:518-292-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA-3631457171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach