Provider Demographics
NPI:1982963013
Name:ZHUTA ENTERPRISES LTD LLC
Entity Type:Organization
Organization Name:ZHUTA ENTERPRISES LTD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:MENDIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHUTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-525-6496
Mailing Address - Street 1:8 WEAVER ST
Mailing Address - Street 2:L1R
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5129
Mailing Address - Country:US
Mailing Address - Phone:203-525-6496
Mailing Address - Fax:
Practice Address - Street 1:1177 HIGH RIDGE RD
Practice Address - Street 2:#120
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1221
Practice Address - Country:US
Practice Address - Phone:203-525-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty