Organization
MACKENZIE DAVIS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE DAVIS MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(425) 268-1181
Entity
Organization
Contact information
Practice address
13456 SW HAWKS BEARD ST APT 223, TIGARD, OR 97223-1912
(503) 495-5035
Mailing address
13456 SW HAWKS BEARD ST APT 223, TIGARD, OR 97223-1912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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