MEDICARE: ZENOVA ADVANCED WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1982535183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENOVA ADVANCED WELLNESS LLC

Provider Business Mailing Address
First Line	:	4760 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6038
Country	:	US
Telephone Number	:	702-401-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6038
Country	:	US
Telephone Number	:	702-401-2111
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARIA ELENA TORRES LEDO
Credential	:	OWNER
Telephone Number	:	702-401-2111

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ZENOVA ADVANCED WELLNESS LLC ” Practice Location

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