Healthcare Provider Details

I. General information

NPI: 1982306593
Provider Name (Legal Business Name): ZEN COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W ACADEMY ST
ASHEBORO NC
27203-5648
US

IV. Provider business mailing address

131 W ACADEMY ST
ASHEBORO NC
27203-5648
US

V. Phone/Fax

Practice location:
  • Phone: 336-628-0109
  • Fax: 336-628-0111
Mailing address:
  • Phone: 336-628-0109
  • Fax: 336-628-0111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY G BLAKE
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 336-736-0455