Healthcare Provider Details

I. General information

NPI: 1710814488
Provider Name (Legal Business Name): CZ THERAPY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E TERRA COTTA AVE STE 239
CRYSTAL LAKE IL
60014-3655
US

IV. Provider business mailing address

820 E TERRA COTTA AVE STE 239
CRYSTAL LAKE IL
60014-3655
US

V. Phone/Fax

Practice location:
  • Phone: 815-236-3572
  • Fax:
Mailing address:
  • Phone: 815-236-3572
  • Fax:

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: CHRISTOPHER A ZAPATA
Title or Position: OWNER, THERAPIST
Credential: MS, LCPC
Phone: 815-236-3572