Provider Demographics
NPI:1700610185
Name:POLACHECK, ZOE
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:POLACHECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10899 SW 4TH ST APT 535
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4402
Mailing Address - Country:US
Mailing Address - Phone:330-217-9610
Mailing Address - Fax:
Practice Address - Street 1:7721 SW 62ND AVE STE 203
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4907
Practice Address - Country:US
Practice Address - Phone:305-574-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health