Healthcare Provider Details

I. General information

NPI: 1407469190
Provider Name (Legal Business Name): ZOI AND MIND CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 EAGLE ROCK BLVD STE 208
LOS ANGELES CA
90041-2087
US

IV. Provider business mailing address

5015 EAGLE ROCK BLVD STE 208
LOS ANGELES CA
90041-2087
US

V. Phone/Fax

Practice location:
  • Phone: 818-231-0007
  • Fax: 818-942-3349
Mailing address:
  • Phone: 818-231-0007
  • Fax: 818-942-3349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIANNA BABAYAN
Title or Position: CEO
Credential: MA
Phone: 818-231-0007