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General NPI Number Information
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NPI Number | 1396303624
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Entity Type | Organization
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Legal Business Name | ZEN INSPIRED COUNSELING AND WELLNESS CENTER
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Dates
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Enumeration Date | 06/01/2019
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 269 GERMANTOWN BEND CV
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City | CORDOVA
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State | TN
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Zip | 38018-4287
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Country | US
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Telephone | 901-881-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 1338 RIVER RIDGE DR
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City | COLLIERVILLE
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State | TN
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Zip | 38017-8215
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Country | US
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Telephone | 901-799-0303
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CLINICAL THERAPIST
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Name | TYWANDA WILLIAMS
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Credential | LCSW
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Telephone | 901-799-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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