Healthcare Provider Details

I. General information

NPI: 1083428015
Provider Name (Legal Business Name): ZENITY FAMILY THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 FAIRFIELD RANCH RD UNIT 4303
CHINO HILLS CA
91709-8873
US

IV. Provider business mailing address

PO BOX 63
CHINO HILLS CA
91709-0003
US

V. Phone/Fax

Practice location:
  • Phone: 562-445-5634
  • Fax:
Mailing address:
  • Phone: 562-445-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LIZETTE GARCIA
Title or Position: OWNER
Credential: LMFT, LPCC
Phone: 562-445-5634