Organization
THERAPEUTIC WELLNESS LICENSED MENTAL HEALTH COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF D MCKENZIE LMHC (PRESIDENT)
(518) 506-7880
Entity
Organization
Contact information
Practice address
443 HUDSON AVE, MECHANICVILLE, NY 12118-4503
(516) 930-3571
Mailing address
443 HUDSON AVE, MECHANICVILLE, NY 12118-4503
(516) 930-3571
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467685347
—
NY
05
—
1679165310
—
NY
05
—
1699335973
—
NY
Enumeration date
09/29/2023
Last updated
10/05/2023
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