MEDICARE: ZARA BELLA WELLNESS CENTER LIMITED LIABILITY COMPANY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629907530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZARA BELLA WELLNESS CENTER LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	3100 E 45TH ST STE 510A
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1095
Country	:	US
Telephone Number	:	817-991-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 E 45TH ST STE 510A
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1095
Country	:	US
Telephone Number	:	817-991-7846
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARCUS GRANT
Credential	:
Telephone Number	:	817-991-7846

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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