Organization Active NPI

Zest 4 Life Counseling SVCS., LLC

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1588197735
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005881 Issued in GA
Legal business name
ZEST 4 LIFE COUNSELING SVCS., LLC
Practice address
265 W Pike St
Lawrenceville, GA 30046-4896
Phone
(678) 650-5510
Fax
(678) 288-7935
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Zandra M Cruz-Paul, LCSWNPI 1356726764
Title
Owner/Manager/Sole Practitioner
Phone
(718) 419-7810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW005881 GA Primary

Addresses

Primary practice location

265 W Pike St
Lawrenceville, GA 30046-4896

Mailing address

349 Shoal CT
Lawrenceville, GA 30046-3168
Phone (718) 419-7810

National Provider Directory

National Provider Directory

Locations

265 W Pike St
Lawrenceville, GA 30046
Phone (678) 650-5510

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": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1588197735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SHOAL CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463168",
            "telephone_number": "718-419-7810",
            "fax_number": "678-288-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464896",
            "telephone_number": "678-650-5510",
            "fax_number": "678-288-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEST 4 LIFE COUNSELING SVCS., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "CRUZ-PAUL",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER/SOLE PRACTITIONER",
        "authorized_official_telephone_number": "718-419-7810",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.