Provider Demographics
NPI:1407419294
Name:POLLARD, ZAKIYA RENEE SPENCER (MPHILED)
Entity type:Individual
Prefix:MRS
First Name:ZAKIYA
Middle Name:RENEE SPENCER
Last Name:POLLARD
Suffix:
Gender:F
Credentials:MPHILED
Other - Prefix:MRS
Other - First Name:ZAKIYA
Other - Middle Name:RENEE SPENCER
Other - Last Name:NURSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, MPHILED
Mailing Address - Street 1:908 YUCCA LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-2562
Mailing Address - Country:US
Mailing Address - Phone:434-962-5744
Mailing Address - Fax:
Practice Address - Street 1:908 YUCCA LN
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-2562
Practice Address - Country:US
Practice Address - Phone:434-962-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012176101YM0800X
RIMHC01212101YM0800X
PAPC012687101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health