Healthcare Provider Details

I. General information

NPI: 1457119216
Provider Name (Legal Business Name): Z HOLISTIC CONNECTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E WISCONSIN AVE STE 111E
LAKE FOREST IL
60045-1700
US

IV. Provider business mailing address

222 E WISCONSIN AVE STE 111E
LAKE FOREST IL
60045-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-834-9647
  • Fax:
Mailing address:
  • Phone: 847-834-9647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ZOYA MIRZA
Title or Position: OWNER
Credential: LCPC, MDIV
Phone: 847-834-9647