Individual
CYNTHIA MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 HUCKLEBERRY WAY, BOWLING GREEN, KY 42104-0321
(270) 320-2182
Mailing address
661 31W BYPASS, A, BOWLING GREEN, KY 42101
(270) 559-1034
(270) 599-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
167371
KY
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100418070
—
KY
Enumeration date
06/20/2016
Last updated
04/26/2024
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