Brittany Mackey

Individual provider Active NPI Mental Health Counselor · Mount Carroll, IL

NPI 1124548136 · NPPES record last updated Jun 21, 2017

Key facts

NPI
1124548136
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1126 Healthcare Dr
Mount Carroll, IL 61053-1469
Phone
(815) 244-4200
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1126 Healthcare Dr
Mount Carroll, IL 61053-1469

Mailing address

14710 Wacker Rd
Mount Carroll, IL 61053-9002

Other providers in Mount Carroll, IL

All providers in Mount Carroll, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.