DAMON MARK MCKENZIE (NPI# 1891291290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891291290 |
| Entity Type | Individual |
| Full Name | DAMON MARK MCKENZIE |
| Credential | LAC |
| Practice Address |
107 S. Hancock Charleston AR 72933 |
| Mailing Address |
Po Box 451 Charleston AR 72933-0451 |
| Practice Telephone | 4794396296 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A1802018 | AR | Behavioral Health & Social Service Providers |
| Street Address |
107 S. HANCOCK |
| City | CHARLESTON |
| State | AR |
| Zip Code | 72933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700262375 | Lacey J Parker | Pharmacist | 621 East Main St, Charleston, AR 72933 | 2015-08-06 |
| 1306222872 | Courtney Houston | Pharmacist | 621 E Main Street, Charleston, AR 72933 | 2015-08-06 |
| 1518138478 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 17 So. Logan St., Charleston, AR 72933 | 2008-03-19 |
| 1356568562 | Tammy L Myers | Speech-Language Pathologist | 500 S Greenwood, Charleston, AR 72933 | 2007-04-19 |
| 1942427562 | City of Charleston Supt of Schools District 9 | Psychologist | 125 West Main Street, Charleston, AR 72933 | 2007-04-18 |
| 1376685107 | Stephanie Sharp | Speech-Language Pathologist | 9300 East County Line Road, Charleston, AR 72933 | 2007-02-12 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1508853466 | Timbi D West | Nurse Practitioner | 1006 E Main Street, Charleston, AR 72933 | 2005-10-05 |
| 1760780522 | Pediatric Speech Pathology, Inc | Speech-Language Pathologist | 9300 East County Line Road, Charleston, AR 72933 | 2011-03-03 |
| Find all providers in zip 72933 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1497379150 | Catherine Fliszar | Counselor | 3245 Glenn Mcconnell Pkwy Unit 801, Charleston, SC 29414-8161 | 2020-05-28 |
| 1003439225 | Lauren Whatley | Counselor | 652 Rutledge Ave Unit A, Charleston, SC 29403-4297 | 2020-05-21 |
| 1891322483 | Katherine Jane Eldean | Counselor | 751 Lake Frances Dr, Charleston, SC 29412-4342 | 2020-03-24 |
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1770090011 | Mary Jo Selbe | Counselor | 305 20th St Se, Charleston, WV 25304-1003 | 2018-01-09 |
| 1780197665 | Courtney Klacza | Counselor | 2122 Egret Crest Ln, Charleston, SC 29414-6073 | 2017-11-14 |
| 1780136556 | Jennifer L Gregan | Counselor | 718 Bigley Avenue, Charleston, WV 25302 | 2016-10-27 |
| 1588111603 | Amber Alena Gunno | Counselor | 713 Bigley Avenue, Charleston, WV 25362 | 2016-09-07 |
| 1093268195 | Joseph Roche | Counselor | 687 Castle Pinckney Dr, Charleston, SC 29412-4404 | 2016-07-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 72933 |
Please comment or provide details below to improve the information on DAMON MARK MCKENZIE.
| 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.