Provider Demographics
NPI:1912689480
Name:ZENLY WELLNESS LLC
Entity Type:Organization
Organization Name:ZENLY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-376-7406
Mailing Address - Street 1:362 JULY JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-3539
Mailing Address - Country:US
Mailing Address - Phone:702-376-7406
Mailing Address - Fax:
Practice Address - Street 1:1057 WHITNEY RANCH DR STE 200
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3193
Practice Address - Country:US
Practice Address - Phone:702-376-7406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health