Organization Active NPI

Zenlightenment Wellness Center LLC

  • Clinical Social Worker
  • Alma, MI
National Provider Identifier
1073198073
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ZENLIGHTENMENT WELLNESS CENTER LLC
Practice address
110 E Superior St
Alma, MI 48801-1817
Phone
(989) 285-1818
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shana Dancer, LMSW
Title
Owner
Phone
(989) 285-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

110 E Superior St
Alma, MI 48801-1817

Mailing address

945 Iowa St
Alma, MI 48801-1467
Phone (989) 388-1880

National Provider Directory

National Provider Directory

Locations

107 W Superior St
Ste 22
Alma, MI 48801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1073198073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 IOWA ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011467",
            "telephone_number": "989-388-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SUPERIOR ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011817",
            "telephone_number": "989-285-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENLIGHTENMENT WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "DANCER",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-285-1818",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.