MACKENZIE MICHAEL CRANDALL LLPC MA TLLP NPI 1003514019

NPI Information

  • NPI: 1003514019
  • Provider Name: MACKENZIE MICHAEL CRANDALL, LLPC, MA, TLLP
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 5980 S MAIN ST STE 101
    CLARKSTON, MI
    ZIP 48346
  • Phone: (248) 625-2970

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NPI Details

Mackenzie Michael Crandall, LLPC, MA, TLLP is a counselor in Clarkston, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mackenzie Michael Crandall, LLPC, MA, TLLP NPI is 1003514019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5980 S MAIN ST STE 101
CLARKSTON, MI
ZIP 48346-377
Phone: (248) 625-2970

The enumeration date for this NPI number is 2/20/2023 and was last updated on 6/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6451022802MICHIGANYes
2103TC1900XPsychologistCounseling6362009701MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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