| Chamisa Mackenzie, Lmsw, Llc | |
|
202 E Washington St Ste 401 Ann Arbor MI 48104-2017 | |
| (734) 649-4114 | |
| Not Available |
| Full Name | Chamisa Mackenzie, Lmsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 E Washington St Ste 401, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kathleen Chamisa Mackenzie (OWNER) |
| Authorized Official Contact | 7346494114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chamisa Mackenzie, Lmsw, Llc 2011 Helen St Ann Arbor MI 48103-2478 Ph: (734) 649-4114 | Chamisa Mackenzie, Lmsw, Llc 202 E Washington St Ste 401 Ann Arbor MI 48104-2017 Ph: (734) 649-4114 |
| NPI Number | 1720586597 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Medicare PECOS PAC ID | 9032525357 |
|---|---|
| Medicare Enrollment ID | O20210311002243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720586597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Michigan) | Primary |
| Provider Name | Kathleen Chamisa Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831638659 PECOS PAC ID: 8325323082 Enrollment ID: I20170320000862 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
Mcevilly Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 | |
Andrea Dewey Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 | |
Enlightened Serenity Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 | |
Lauren V. Kachorek, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 | |
Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |