Healthcare Provider Details

I. General information

NPI: 1972163939
Provider Name (Legal Business Name): ZARI ZAPINSKY KELLY CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 E. SUNSET RD SUITE 100
LAS VEGAS NV
89120-7202
US

IV. Provider business mailing address

3602 E. SUNSET RD SUITE 100
LAS VEGAS NV
89120-7202
US

V. Phone/Fax

Practice location:
  • Phone: 702-932-4308
  • Fax: 702-837-8930
Mailing address:
  • Phone: 702-932-4308
  • Fax: 702-837-8930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-1925
License Number StateWY
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP334-R
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: