| Mackenzie Family Therapy Pllc | |
|
3 W End Ave Old Greenwich CT 06870-1640 | |
| (203) 722-5152 | |
| Not Available |
| Full Name | Mackenzie Family Therapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3 W End Ave, Old Greenwich, Connecticut |
| Authorized Official Name and Position | Joanna Mackenzie (OWNER) |
| Authorized Official Contact | 2037225152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Family Therapy Pllc 3 W End Ave Old Greenwich CT 06870-1640 Ph: (203) 722-5152 | Mackenzie Family Therapy Pllc 3 W End Ave Old Greenwich CT 06870-1640 Ph: (203) 722-5152 |
| NPI Number | 1669142196 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669142196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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