Provider Demographics
NPI:1386342715
Name:ZENLIFE PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:ZENLIFE PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:760-680-6816
Mailing Address - Street 1:312 W 2ND ST STE 3830
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2412
Mailing Address - Country:US
Mailing Address - Phone:760-358-4144
Mailing Address - Fax:760-452-7802
Practice Address - Street 1:312 W 2ND ST STE 3830
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2412
Practice Address - Country:US
Practice Address - Phone:760-358-4144
Practice Address - Fax:760-452-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty