Healthcare Provider Details

I. General information

NPI: 1891659686
Provider Name (Legal Business Name): ZEAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S 8TH AVE
BRANDON SD
57005-1772
US

IV. Provider business mailing address

700 S 8TH AVE
BRANDON SD
57005-1772
US

V. Phone/Fax

Practice location:
  • Phone: 605-321-1603
  • Fax:
Mailing address:
  • Phone: 605-321-1603
  • 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: REBECCA ZENK
Title or Position: MEMBER
Credential: CSW-PIP
Phone: 605-321-1603