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ROSS & MACKENZIE LLC NPI 1609271659


NPI Information

NPI: 1609271659
Provider Name: ROSS & MACKENZIE LLC

Doing Business As: AGAPE FAMILY SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
319 N LITCHFIELD RD
SUITE 105
GOODYEAR, AZ
ZIP 85338
Phone: (480) 316-3782
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ROSS & MACKENZIE LLC is a mental health (including community mental health center) clinic center in Goodyear, AZ. ROSS & MACKENZIE LLC NPI is 1609271659. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Agape Family Services.

The provider's business location address is:

319 N LITCHFIELD RD
SUITE 105
GOODYEAR, AZ
ZIP 85338-256
Phone: (480) 316-3782

The provider's authorized official is Wayne M Mackenzie .
The authorized official title is Ceo and has the following contact phone number (623) 224-1162.

The enumeration date for this NPI number is 11/1/2014 and was last updated on 1/31/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1QXIPQ0000098776OTHERARIZONAAHCCCS
2PDZ-0000000-27067MEDICAIDARIZONA

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

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