| Mackenzie Counseling And Consultation Services | |
|
8101 Sandy Spring Rd 100 F Laurel MD 20707-3596 | |
| (850) 377-5389 | |
| Not Available |
| Full Name | Mackenzie Counseling And Consultation Services |
|---|---|
| Speciality | Psychologist |
| Location | 8101 Sandy Spring Rd, Laurel, Maryland |
| Authorized Official Name and Position | Lavonne Browne (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8503775389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Counseling And Consultation Services Po Box 249 Olney MD 20830-0249 Ph: (850) 377-5389 | Mackenzie Counseling And Consultation Services 8101 Sandy Spring Rd 100 F Laurel MD 20707-3596 Ph: (850) 377-5389 |
| NPI Number | 1679972855 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 5294009973 |
|---|---|
| Medicare Enrollment ID | O20170927000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679972855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC2966 (Maryland) | Secondary |
| 103TC0700X | Psychologist - Clinical | 04813 (Maryland) | Primary |
| Provider Name | Lavonne Antoinette Browne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598933764 PECOS PAC ID: 6103190889 Enrollment ID: I20170927000308 |
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