| Zen Quality Therapy Solutions Llc | |
|
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
| (502) 544-6204 | |
| Not Available |
| Full Name | Zen Quality Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Haley C Bosemer (OWNER) |
| Authorized Official Contact | 5025446204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zen Quality Therapy Solutions Llc 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 544-6204 | Zen Quality Therapy Solutions Llc 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 544-6204 |
| NPI Number | 1184307084 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 2668813536 |
|---|---|
| Medicare Enrollment ID | O20240509000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184307084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Haley C Bosemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629781224 PECOS PAC ID: 7719342906 Enrollment ID: I20230421001151 |
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