Organization
MACKENZIE MENTAL HEALTH AND WELLNESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HOLLOWAY (MEMBER MANAGER)
(832) 289-4733
Entity
Organization
Contact information
Practice address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
(832) 289-4733
Mailing address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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