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General NPI Number Information
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NPI Number | 1851049241
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Entity Type | Organization
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Legal Business Name | ZIA HEALING AND WELLNESS LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 5353 N UNION BLVD FL 2
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-2065
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Country | US
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Telephone | 185-061-9560
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Fax |
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Provider Business Mailing Address
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Address Line | 8361 COLORADO SPRUCE LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80927-4083
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Country | US
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Telephone | 850-619-5607
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR/ OWNER
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Name | MRS. ADREA NICOLE ZALESKI
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Credential | MS, LPC-S, NCC
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Telephone | 850-619-5607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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