Healthcare Provider Details

I. General information

NPI: 1750823555
Provider Name (Legal Business Name): ZELENIA OLIVIA PELLAT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 E PALMDALE ST STE 150-190
TUCSON AZ
85714-1857
US

IV. Provider business mailing address

PO BOX 86537
TUCSON AZ
85754-6537
US

V. Phone/Fax

Practice location:
  • Phone: 520-333-4320
  • Fax: 520-207-0542
Mailing address:
  • Phone: 520-721-1887
  • Fax: 520-372-7126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-18363
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: