ELIZABETH ANN MACKENZIE (NPI# 1215398458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215398458 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN MACKENZIE |
| Credential | MS |
| Practice Address |
2632 Sw Port St Lucie Blvd Port St Lucie FL 34953-2845 |
| Practice Telephone | 7722011996 |
| Mailing Telephone | 7722011996 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Se Federal Hwy, Stuart, FL 349943823 | 7723200770 | 7723200181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780756965 | Elizabeth Mackenzie | Psychologist | 4204 Sw Oregon St, Seattle, WA 98116-4236 | 2006-11-14 |
| 1841841558 | Elizabeth Lauren Mackenzie | Registered Nurse | 107 Sunset Dr, East Earl, PA 17519-9761 | 2019-09-24 |
| Street Address |
2632 SW PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255443859 | Michael Bessos Md Pa | Pediatrics | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2006-08-31 |
| 1578187696 | Nakylia A Carter | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2020-06-04 |
| 1265055453 | Beverly Sue Hanna | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2020-05-21 |
| 1407494370 | Katie Watts | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-12-11 |
| 1053958074 | Nicole Ortega Figueroa | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-12-09 |
| 1922654383 | Trenise Washington | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-08-12 |
| 1437713070 | Leo Lundy IIi | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-04-29 |
| 1497214787 | Jessica Henderson | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-03-16 |
| 1134696438 | Jasmine Griffin | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2018-10-25 |
| 1215410626 | David Lee Searfoss | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403357 | Samantha Dunbar | Counselor | 2221 Se Mcmaster St, Port St Lucie, FL 34952-6845 | 2020-09-29 |
| 1629699129 | Justine Renee Sommers | Counselor | 131 Nw Swann Mill Cir, Port St Lucie, FL 34986-3591 | 2020-05-06 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1184139123 | Malita Robinson | Counselor | 113 Se Whitmore Dr, Port St Lucie, FL 34984-3738 | 2017-12-13 |
| 1316456387 | Misty Brooke Rummage | Counselor | 354 Se Greenway Ter, Port St Lucie, FL 34983-2696 | 2017-09-21 |
| 1801312590 | Hazel Mentore | Counselor | 1358 Sw Century Ave, Port St Lucie, FL 34953 | 2017-08-15 |
| 1528580313 | Garland Anderson | Counselor | 2100 Se Hillmoor Dr Ste 205, Port St Lucie, FL 34952-8057 | 2017-07-13 |
| 1437689601 | Jacquelyn Morris | Counselor | 6041 Nw Wesley Rd, Port St Lucie, FL 34986-3752 | 2017-06-19 |
| 1194250753 | Magaly Marin | Counselor | 562 Sw Violet Ave, Port St Lucie, FL 34983-8739 | 2017-04-20 |
| 1861923815 | Vivas Counseling Services, LLC | Counselor | 6550 S Federal Hwy, Port St Lucie, FL 34952-9031 | 2017-03-22 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on ELIZABETH ANN MACKENZIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.