| Damon Mckenzie Llc | |
|
1234 Point Royal Loop Charleston AR 72933-8239 | |
| (479) 965-5443 | |
| Not Available |
| Full Name | Damon Mckenzie Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1234 Point Royal Loop, Charleston, Arkansas |
| Authorized Official Name and Position | Damon Mark Mckenzie (COUNSELOR) |
| Authorized Official Contact | 4799655443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Mckenzie Llc 1234 Point Royal Loop Charleston AR 72933-8239 Ph: (479) 965-5443 | Damon Mckenzie Llc 1234 Point Royal Loop Charleston AR 72933-8239 Ph: (479) 965-5443 |
| NPI Number | 1609640929 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609640929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Aka-charleston School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 West Main Street, Charleston, AR 72933 Phone: 479-965-7160 Fax: 479-965-9989 |