Healthcare Provider Details
I. General information
NPI: 1851135032
Provider Name (Legal Business Name): ZEN & GO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2024
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
189 ELM ST STE 5
WESTFIELD NJ
07090-3142
US
IV. Provider business mailing address
208 LENOX AVE # 307
WESTFIELD NJ
07090-5120
US
V. Phone/Fax
- Phone: 877-969-3646
- Fax:
- Phone: 877-969-3646
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOLLY
LEV
Title or Position: OWNER
Credential:
Phone: 877-969-3646