MACKENZIE CARA WILSON
NPI 1437764735
Peer Specialist in Malone, NY
- Individual
- Female
- Peer Specialist
About MACKENZIE WILSON
This page provides the complete NPI Profile along with additional information for Mackenzie Wilson, a provider established in Malone, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1437764735 assigned on September 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1437764735 Verify this NPI
- Provider Name
- MACKENZIE CARA WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 31 6TH ST MALONE, NY 12953
- Location Phone
- (518) 483-3261
- Location Fax
- (518) 483-3383
- Mailing Address
- 1245 COUNTY ROUTE 25 MALONE, NY 12953
- Mailing Phone
- (518) 483-3261
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2020
- Last Update Date
- 09-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437764735, enumerated as an "individual" on September 14, 2020.
The provider is located at 31 6TH ST MALONE, NY 12953 and the phone number is (518) 483-3261.
Peer Specialist with taxonomy code 175T00000X.