Healthcare Provider Details

I. General information

NPI: 1235060997
Provider Name (Legal Business Name): ZION FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 UNIVERSITY AVE
COLUMBUS GA
31907-2106
US

IV. Provider business mailing address

3012 UNIVERSITY AVE
COLUMBUS GA
31907-2106
US

V. Phone/Fax

Practice location:
  • Phone: 706-507-9372
  • Fax: 706-243-4838
Mailing address:
  • Phone: 706-507-9372
  • Fax: 706-243-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SELLERS
Title or Position: CEO
Credential:
Phone: 706-992-8065