MEDICARE: ZEAN HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1245195080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEAN HEALTH, LLC

Provider Business Mailing Address
First Line	:	628 BARCROFT LN
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-6228
Country	:	US
Telephone Number	:	732-791-8177
Fax Number	:

Provider Business Practice Location Address
First Line	:	1643-C SAVANNAH HIGHWAY 190
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407
Country	:	US
Telephone Number	:	732-791-8177
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SANDRA OKONKWO
Credential	:	MD
Telephone Number	:	732-791-8177

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	03/11/2026

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Directions to “ZEAN HEALTH, LLC ” Practice Location

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