Provider Demographics
NPI:1154931590
Name:ZEN INTEGRATIVE COUNSELING & RECOVERY LLC
Entity type:Organization
Organization Name:ZEN INTEGRATIVE COUNSELING & RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LIMHP LMHP LADC
Authorized Official - Phone:402-708-7597
Mailing Address - Street 1:11909 ARBOR ST STE A
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4418
Mailing Address - Country:US
Mailing Address - Phone:402-708-7597
Mailing Address - Fax:402-625-0455
Practice Address - Street 1:11909 ARBOR ST STE A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4418
Practice Address - Country:US
Practice Address - Phone:402-708-7597
Practice Address - Fax:402-625-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty