Provider Demographics
NPI:1952038747
Name:THRIVING ZEN NUTRITION AND WELLNESS
Entity Type:Organization
Organization Name:THRIVING ZEN NUTRITION AND WELLNESS
Other - Org Name:THRIVING ZEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:702-908-8841
Mailing Address - Street 1:6888 CRIMSON HORSE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5144
Mailing Address - Country:US
Mailing Address - Phone:702-908-8841
Mailing Address - Fax:702-479-6895
Practice Address - Street 1:5510 S FORT APACHE RD STE 114
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7700
Practice Address - Country:US
Practice Address - Phone:702-908-8841
Practice Address - Fax:702-479-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1104463124Medicaid