Healthcare Provider Details

I. General information

NPI: 1346168846
Provider Name (Legal Business Name): ZENNINNERPEACE COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 S MONROE ST STE 212
MONROE MI
48161-2249
US

IV. Provider business mailing address

1015 VIRGINIA ST # 15
TOLEDO OH
43606-4624
US

V. Phone/Fax

Practice location:
  • Phone: 734-265-0445
  • Fax:
Mailing address:
  • Phone: 567-202-7813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ZENNIE LEMAR SULLIVAN
Title or Position: THERAPIST
Credential: LPC
Phone: 567-202-7813