MACKENZIE CARR


Address: 295 S Roscoe Blvd, Ponte Vedra Beach, FL 32082-4361
Phone: 9042858264

MACKENZIE CARR (NPI# 1891100046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891100046
Entity Type Individual
Full Name MACKENZIE CARR
Practice Address 295 S Roscoe Blvd
Ponte Vedra Beach
FL 32082-4361
Practice Telephone 9042858264
Enumeration Date 2014-06-26
Last Update Date 2014-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 295 S ROSCOE BLVD
City PONTE VEDRA BEACH
State FL
Zip Code 32082-4361

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1518576818 Specialty Eye Surgeons, Pa Ophthalmology 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 2020-07-23
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1457890584 Angelyn Sorgen Nurse Practitioner 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 2017-02-22
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1144628439 Integrative Medical Group, Usa, LLC Clinic/Center 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 2014-12-18
1811308901 Janice Wachtel, Phd, LLC Psychologist 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 2014-05-12
1578991154 Nicole Theiler Counselor 171 Canal Blvd, Ponte Vedra Beach, FL 32082 2013-10-17
1982948006 Daisamma Varghese Nurse Practitioner 860 A1an, Ponte Vedra, FL 32082 2012-11-15
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861010027 Jaime Ostendorf Masotti Counselor 3058 Cypress Creek Dr N, Ponte Vedra Beach, FL 32082-3018 2020-07-13
1578025490 Elite Life Counseling Counselor 695 A1a N Unit 113, Ponte Vedra Beach, FL 32082-2755 2019-04-01
1306385448 A Clark Minority Company LLC Counselor 4615 Marsh Hawk Pl, Ponte Vedra Beach, FL 32082-3027 2017-02-22
1578991154 Nicole Theiler Counselor 171 Canal Blvd, Ponte Vedra Beach, FL 32082 2013-10-17
1447690441 Dwight Eisenman Counselor 145 Turtle Bay Ln, Ponte Vedra Beach, FL 32082-4516 2013-07-05
1477899789 Merralee Block Counselor 104 Lucina Ln, Ponte Vedra Beach, FL 32082-2422 2012-12-14
1588983480 Maureen Travers Harper Counselor 4400 Marsh Landing Blvd Ste 6, Ponte Vedra Beach, FL 32082-1287 2010-05-18
1376657775 Michael Joseph Zalewa Counselor 2303 Sawgrass Village Dr, Ponte Vedra Beach, FL 32082-5008 2006-08-19
1538172911 Lewis Jay Moskowitz Counselor 6000a Sawgrass Village Cir Ste 6, Ponte Vedra Beach, FL 32082-5061 2006-08-15
1578092631 Laura Duffy Player Counselor 1100 Sawgrass Village Dr, Ponte Vedra Beach, FL 32082-5048 2017-06-12
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Competitor

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City PONTE VEDRA BEACH
Zip Code 32082

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Dataset Information

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.

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