Individual
MACKENZIE TAYLOR RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804-1583
(260) 432-0066
Mailing address
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804-1583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004077A
IN
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
20043940A
IN
103TH0100X
Health Service Psychologist
20043940B
IN
Other
Enumeration date
08/21/2017
Last updated
09/29/2025
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