Mieszkowski, Mckenzie
Mieszkowski, Mckenzie is an sole proprietor health care provider with primary practice located at 40 N Broadway St , Coal City IL 60416-1688. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mieszkowski, Mckenzie can be contacted via phone (224) 335-7413.Contact Information
Primary practice address
40 N Broadway St
Coal City IL 60416-1688
Phone: (224) 335-7413
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 36109 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.014596 | Illinois |
Profile Details
NPI number | 1396457735 |
---|---|
LBN Legal business name | Mieszkowski, Mckenzie |
Credentials | LCPC, CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 16th, 2022 |
Last updated | Dec 16th, 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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