| Doctor Name: | MRS. KELLY S ZENTNER |
| NPI Number: | 1659316537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 17764 |
| Business Practice Address: | 136 Creek Run Cibolo, TX - 781082301 |
| Business Phone Number: | 2105452111 |
| Business Fax Number: | 2105308287 |
| Mailing Address: | 19115 Fm 2252 Ste 12, GARDEN RIDGE |
| State: | TX |
| Postal Code: | 782662578 |
| Phone Number: | 2108331900 |
| Fax Number: | 2105308287 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 17764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |