Healthcare Provider Details

I. General information

NPI: 1952111429
Provider Name (Legal Business Name): CAILA ROSE ZENNER LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 SLATER RD STE 100
MORRISVILLE NC
27560-6400
US

IV. Provider business mailing address

2880 SLATER RD STE 100
MORRISVILLE NC
27560-6400
US

V. Phone/Fax

Practice location:
  • Phone: 919-578-7785
  • Fax:
Mailing address:
  • Phone: 919-578-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20951
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: