# ROSS & MACKENZIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Agape Family Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609271659
- **Authorized official:** DR. WAYNE M MACKENZIE SR. PMHNP-BC (CEO)
- **Authorized official phone:** (623) 224-1162

## Contact information

- **Practice address:** 319 N LITCHFIELD RD STE 105, GOODYEAR, AZ 85338-1256
- **Practice address phone:** (623) 224-1162
- **Mailing address:** 319 N LITCHFIELD RD, SUITE 105, GOODYEAR, AZ 85338-1256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2014
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PDZ-0000000-27067 | — | AZ |
| 01 | — | QXIPQ0000098776 | AHCCCS | AZ |