Provider Demographics
NPI:1366252520
Name:THE ZEN MONKEY MENTAL HEALTH COMPANY LLC
Entity type:Organization
Organization Name:THE ZEN MONKEY MENTAL HEALTH COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ANISE
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:575-649-5131
Mailing Address - Street 1:1165 W BOUTZ RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3806
Mailing Address - Country:US
Mailing Address - Phone:575-649-5131
Mailing Address - Fax:
Practice Address - Street 1:1730 TIERRA DE MESILLA STE 3A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3957
Practice Address - Country:US
Practice Address - Phone:575-649-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty