Provider Demographics
NPI:1104246214
Name:ZERENITY WELLNESS COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:ZERENITY WELLNESS COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZONIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-821-1479
Mailing Address - Street 1:1719 E PLUM ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-1026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1719 E PLUM ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-1026
Practice Address - Country:US
Practice Address - Phone:956-206-0926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60212251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health