Provider Demographics
NPI:1992485122
Name:ZEN LIES WITHIN
Entity type:Organization
Organization Name:ZEN LIES WITHIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIICENSE CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:LYNELL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-968-1490
Mailing Address - Street 1:8031 S SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-2541
Mailing Address - Country:US
Mailing Address - Phone:773-968-1490
Mailing Address - Fax:
Practice Address - Street 1:8031 S SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-2541
Practice Address - Country:US
Practice Address - Phone:773-968-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty