Wallace, Mackenzie
Wallace, Mackenzie is an individual health care provider with primary practice located at 1932 Briar Grove Dr , Conroe TX 77301-2052. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wallace, Mackenzie can be contacted via phone (562) 825-7025.Contact Information
Primary practice address
1932 Briar Grove Dr
Conroe TX 77301-2052
Phone: (562) 825-7025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-41389 | California |
Profile Details
| NPI number | 1225594898 |
|---|---|
| LBN Legal business name | Wallace, Mackenzie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Jun 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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