MEDICARE: MRS. HUDA ZENATI LMSW, ACSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801067821	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0N15280	OTHER	MI	APEX BEHAVIORAL HEALTH P.L.L.C MEDICARE GROUP PIN NO.

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	6801067821	OTHER	MI	LICENSE NO.

General Provider Information

NPI Number	:	1356513238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HUDA ZENATI LMSW, ACSW

Provider Business Mailing Address
First Line	:	18181 OAKWOOD BLVD STE 311
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-5031
Country	:	US
Telephone Number	:	313-271-8170
Fax Number	:	313-271-8353

Provider Business Practice Location Address
First Line	:	18181 OAKWOOD BLVD STE 311
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-5031
Country	:	US
Telephone Number	:	313-271-8170
Fax Number	:	313-271-8353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	05/20/2008

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