Blomstrom, Mackenzie

Blomstrom, Mackenzie is an individual health care provider with primary practice located at 222 W 21St St Apt 3F , New York NY 10011-3485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Blomstrom, Mackenzie can be contacted via phone (571) 659-1549.

Contact Information

Primary practice address
222 W 21St St Apt 3F New York NY 10011-3485
Phone: (571) 659-1549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 116902 New York

Profile Details

NPI number 1992322218
LBN Legal business name Blomstrom, Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2020
Last updated Sep 29th, 2022 - 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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