=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336022409
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEYS TO ZERENITY MENTAL HEALTH CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2025
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103400 OVERSEAS HWY STE 210
-----------------------------------------------------
City | KEY LARGO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33037-2848
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-964-2243
-----------------------------------------------------
Fax | 305-317-6189
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11 GARDEN COVE DR
-----------------------------------------------------
City | KEY LARGO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33037-5007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-964-2243
-----------------------------------------------------
Fax | 305-617-6189
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APRN
-----------------------------------------------------
Name | ZELAINE DE JESUS GONZALEZ
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 786-964-2243
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------