Provider Demographics
NPI:1215626973
Name:ZWIENER, SHELENA (MHC)
Entity type:Individual
Prefix:
First Name:SHELENA
Middle Name:
Last Name:ZWIENER
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:SHELENA
Other - Middle Name:
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHC
Mailing Address - Street 1:146L ARSENAL ST. STE 10A
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601
Mailing Address - Country:US
Mailing Address - Phone:316-343-3344
Mailing Address - Fax:
Practice Address - Street 1:146L ARSENAL ST. STE 10A
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601
Practice Address - Country:US
Practice Address - Phone:308-627-3190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health