Individual
MACKENZIE TATUM BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
06/12/2026
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