Provider Demographics
NPI:1629394234
Name:ZEITGEIST WELLNESS GROUP
Entity type:Organization
Organization Name:ZEITGEIST WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHD, LMFT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-271-7411
Mailing Address - Street 1:1222 N MAIN AVE
Mailing Address - Street 2:740
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5712
Mailing Address - Country:US
Mailing Address - Phone:210-271-7411
Mailing Address - Fax:210-271-9414
Practice Address - Street 1:6501 BOEING DR.
Practice Address - Street 2:J-1B
Practice Address - City:EL PASO
Practice Address - State:TEXAS
Practice Address - Zip Code:79925
Practice Address - Country:UM
Practice Address - Phone:915-881-1333
Practice Address - Fax:915-881-1358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX517581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty