Organization
MCKENZIE 21ST CENTURY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKERA L MCKENZIE (EXECUTIVE DIRECTOR)
(337) 508-9023
Entity
Organization
Contact information
Practice address
803 W BAYOU PINES DR STE D, LAKE CHARLES, LA 70601-7096
(337) 508-9023
Mailing address
3548 SAINT NICK ST, LAKE CHARLES, LA 70607-7595
(337) 508-9023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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