Individual
MRS. MCKENZIE GREENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMHCI, LGPC
Contact information
Practice address
506 S PALMETTO AVE, SANFORD, FL 32771-1928
(407) 951-4919
Mailing address
506 S PALMETTO AVE, SANFORD, FL 32771-1928
(407) 951-4919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP12649
MD
101YM0800X
Mental Health Counselor
IMH22124
FL
Other
Enumeration date
01/26/2022
Last updated
07/18/2022
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