MS. MACKENZIE QUINN COULSON (NPI# 1679068910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679068910 |
| Entity Type | Individual |
| Full Name | MS. MACKENZIE QUINN COULSON |
| Credential | LPC |
| Practice Address |
24 Clay St Martinsville VA 24112-2810 |
| Practice Telephone | 2766322108 |
| Mailing Telephone | 2766322108 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007695 | VA | Behavioral Health & Social Service Providers |
| Street Address |
24 CLAY ST |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440766 | Lori A Brodie | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2006-01-06 |
| 1063064038 | Lisa Mcintosh | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-07-10 |
| 1477010999 | Ariel Christina Vaughn | Social Worker | 24 Clay St, Martinsville, VA 24112-2810 | 2019-02-21 |
| 1114481090 | Grant Tomey | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-01-25 |
| 1164992244 | Richard Patterson | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2018-11-30 |
| 1891265302 | Jessica Butler | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2018-11-27 |
| 1821570839 | Laura A Evans | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2018-09-06 |
| 1548771348 | Mary Allison Harper | Social Worker | 24 Clay St, Martinsville, VA 24112-2810 | 2017-10-19 |
| 1114325958 | Kristen Gregory Patterson | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2014-12-10 |
| 1619308129 | Piedmont Regional Community Services Board | Secured Medical Transport (VAN) | 24 Clay St, Martinsville, VA 24112-2810 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046007 | Ryan Eric Hatch | Counselor | 730 E Church St Ste 24, Martinsville, VA 24112-3151 | 2019-01-08 |
| 1902273154 | Julia Anne Johnson | Counselor | 300 Franklin St, Suite 226, Martinsville, VA 24112-2162 | 2015-08-24 |
| 1962617779 | Barbara Zilberberg | Counselor | 24 Weaver Dr, Martinsville, NJ 08836-2317 | 2007-05-14 |
| 1972556959 | Esther C Reynolds | Counselor | 15 Cleveland Ave Ste 2a, Martinsville, VA 24112-2937 | 2006-05-18 |
| 1568440766 | Lori A Brodie | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2006-01-06 |
| 1952902595 | Traketa La'shawn Wade | Counselor | 730 E Church St Ste 24, Martinsville, VA 24112-3151 | 2020-11-02 |
| 1518595206 | Amanda Leigh Estep | Counselor | 1079 Spruce St Ste A, Martinsville, VA 24112-4542 | 2020-03-30 |
| 1063064038 | Lisa Mcintosh | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-07-10 |
| 1114481090 | Grant Tomey | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-01-25 |
| 1164992244 | Richard Patterson | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2018-11-30 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
Please comment or provide details below to improve the information on MS. MACKENZIE QUINN COULSON.
| 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.