Provider Demographics
NPI:1285479253
Name:ZEN MOM
Entity type:Organization
Organization Name:ZEN MOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, IBCLC
Authorized Official - Phone:214-886-0431
Mailing Address - Street 1:1911 ESPINOSA DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4002
Mailing Address - Country:US
Mailing Address - Phone:214-886-0431
Mailing Address - Fax:
Practice Address - Street 1:1911 ESPINOSA DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4002
Practice Address - Country:US
Practice Address - Phone:214-886-0431
Practice Address - Fax:940-445-6763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No251J00000XAgenciesNursing Care