MACKENSIE N/A BLU (NPI# 1437467016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437467016 |
| Entity Type | Individual |
| Full Name | MACKENSIE N/A BLU |
| Credential | MFT |
| Practice Address |
826 Memorial Ave Mackensie Blu Murfreesboro TN 37130 |
| Mailing Address |
Pobox95 Mackensie Blu Woodbury Ave TN 37190 |
| Practice Telephone | 6155425068 |
| Mailing Telephone | 6155425068 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 260 | TN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
260 | TN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
260 | TN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 260 | TN | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 260 | TN | Other Service Providers |
| Street Address |
826 MEMORIAL AVE MACKENSIE BLU |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766474 | Clinton Timothy Hamm | Marriage & Family Therapist | 105 N Maple St Ste 7, Murfreesboro, TN 37130-3524 | 2020-09-24 |
| 1053826990 | Jonathan Philip Moore | Marriage & Family Therapist | 2670 Memorial Blvd Ste E2, Murfreesboro, TN 37129-5134 | 2017-12-13 |
| 1487167920 | Alison Jane Hill | Marriage & Family Therapist | 805 S Church St Ste 20, Murfreesboro, TN 37130-5297 | 2017-11-07 |
| 1205362613 | Aron Strong | Marriage & Family Therapist | 521 Old Salem Rd, Murfreesboro, TN 37129-5314 | 2017-05-04 |
| 1265800171 | Mary B Thompson | Marriage & Family Therapist | 521 Uptown Sq, Murfreesboro, TN 37129-0589 | 2015-09-09 |
| 1629360060 | Mary Angela Witt | Marriage & Family Therapist | 2670 Memorial Blvd Ste E1, Murfreesboro, TN 37129-5134 | 2011-05-04 |
| 1629203542 | Lavonne Desiree Mirical Johnson | Marriage & Family Therapist | 2670 Memorial Blvd., Suite B, Murfreesboro, TN 37129 | 2009-05-20 |
| 1720299688 | Missing Pieces.org | Marriage & Family Therapist | 3798 Asbury Lane, Murfreesboro, TN 37129 | 2007-05-24 |
| 1598972713 | Laura Lynn Sousa | Marriage & Family Therapist | 610 Brandywine Dr, Murfreesboro, TN 37129-6688 | 2007-05-17 |
| 1285777201 | Carla Diann Dugan | Marriage & Family Therapist | 105 N Maple St Ste 3, Murfreesboro, TN 37130 | 2007-02-15 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
Please comment or provide details below to improve the information on MACKENSIE N/A BLU.
| 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.