Provider Demographics
NPI:1275341521
Name:ZANOTELLI WELLNESS GROUP LLC
Entity type:Organization
Organization Name:ZANOTELLI WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ZANOTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:518-567-3046
Mailing Address - Street 1:158 UNION TPKE APT 402C
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1539
Mailing Address - Country:US
Mailing Address - Phone:518-567-3046
Mailing Address - Fax:
Practice Address - Street 1:158 UNION TPKE APT 402C
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1539
Practice Address - Country:US
Practice Address - Phone:518-567-3046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty