Healthcare Provider Details

I. General information

NPI: 1316543606
Provider Name (Legal Business Name): ZENBEES PSYCHIATRY AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 THOMAS JOHNSON DR STE 100
FREDERICK MD
21702-4491
US

IV. Provider business mailing address

180 THOMAS JOHNSON DR STE 100
FREDERICK MD
21702-4491
US

V. Phone/Fax

Practice location:
  • Phone: 410-693-7401
  • Fax: 534-429-4341
Mailing address:
  • Phone: 410-693-7401
  • Fax: 534-429-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FAITH NGUYEN
Title or Position: CRNP
Credential: CRNP
Phone: 410-693-7401