Healthcare Provider Details

I. General information

NPI: 1346164001
Provider Name (Legal Business Name): INNOVATEU, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 GENESEE ST
LOCKPORT NY
14094-4424
US

IV. Provider business mailing address

140 GENESEE ST
LOCKPORT NY
14094-4424
US

V. Phone/Fax

Practice location:
  • Phone: 716-221-0235
  • Fax:
Mailing address:
  • Phone: 716-221-0235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. CARMALETTA ZANDI
Title or Position: OWNER
Credential: LCSW
Phone: 716-221-0235