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General NPI Number Information
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NPI Number | 1235662396
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Entity Type | Organization
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Legal Business Name | PIECE OF ZEN, LLC
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 238 N MASSACHUSETTS AVE PMB 9834
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City | LAKELAND
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State | FL
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Zip | 33801-5114
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Country | US
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Telephone | 863-651-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 4931 ST JAMES DR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-9117
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Country | US
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Telephone | 863-651-7969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANTIONETTE POLLARD
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Credential | LMHC
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Telephone | 863-651-7969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13945
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License Number State | FL
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