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Organization
MACKENZIE MENTAL HEALTH AND WELLNESS CORPORATION
Active
Organization
MACKENZIE MENTAL HEALTH AND WELLNESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HOLLOWAY (MEMBER MANAGER)
(832) 289-4733
Entity
Organization
Contact information
Practice address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
(832) 289-4733
Mailing address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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