| Mckenzie Mental Health, Llc | |
|
921 Country Club Rd Ste 100 Eugene OR 97401-6039 | |
| (458) 214-8745 | |
| Not Available |
| Full Name | Mckenzie Mental Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 921 Country Club Rd Ste 100, Eugene, Oregon |
| Authorized Official Name and Position | Kevin Kelley (MANAGING MEMBER) |
| Authorized Official Contact | 4582058347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Mental Health, Llc 921 Country Club Rd Ste 100 Eugene OR 97401-6039 Ph: (458) 205-8347 | Mckenzie Mental Health, Llc 921 Country Club Rd Ste 100 Eugene OR 97401-6039 Ph: (458) 214-8745 |
| NPI Number | 1750102075 |
|---|---|
| Provider Enumeration Date | 10/19/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4183153364 |
|---|---|
| Medicare Enrollment ID | O20250203001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750102075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Erin S Mcintyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609992221 PECOS PAC ID: 5597029769 Enrollment ID: I20180516001276 |
| Provider Name | Stephen F Neet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316343080 PECOS PAC ID: 2668812413 Enrollment ID: I20240426003505 |
| Provider Name | Laura D Nydigger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184010944 PECOS PAC ID: 5991242638 Enrollment ID: I20240731001010 |
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