Provider Demographics
NPI:1285276535
Name:ZENTENO CENTER FOR BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:ZENTENO CENTER FOR BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZENTENO-MANTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-556-9392
Mailing Address - Street 1:160 JACKSON BLUE LN
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2304
Mailing Address - Country:US
Mailing Address - Phone:830-556-9392
Mailing Address - Fax:
Practice Address - Street 1:160 JACKSON BLUE LN
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2304
Practice Address - Country:US
Practice Address - Phone:830-556-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty