Organization
ZEN IMAGO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA CLAY MS, LPC-S (OWNER)
(832) 782-0001
Entity
Organization
Contact information
Practice address
4800 SUGAR GROVE BLVD, SUITE 528, STAFFORD, TX 77477
(832) 782-0001
Mailing address
9119 HIGHWAY 6 SOUTH, SUITE 189, MISSOURI CITY, TX 77459
(832) 782-0001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207829703
—
TX
Enumeration date
02/15/2016
Last updated
02/15/2016
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