Organization
MACKENZIE LEWIS LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE LEWIS LMFT (OWNER/CLINICIAN)
(252) 227-9346
Entity
Organization
Contact information
Practice address
696 N SPENCE AVE STE C, GOLDSBORO, NC 27534-4354
(252) 227-9346
Mailing address
203 WALDEN WOODS DR, LA GRANGE, NC 28551-8664
(252) 227-9346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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