MACKENZIE AMANDA HUDSON LCSW NPI 1417248303

NPI Information

NPI: 1417248303
Provider Name: MACKENZIE AMANDA HUDSON, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA
ZIP 92121
Phone: (619) 514-2795
Get Directions

Mackenzie Amanda Hudson, LCSW is a mental health counselor in San Diego, CA. Mackenzie Amanda Hudson, LCSW NPI is 1417248303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5405 MOREHOUSE DR STE 330
SAN DIEGO, CA
ZIP 92121-786
Phone: (619) 514-2795

The NPI 1417248303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/26/2011 and was last updated on 2/15/2022.

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
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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