McKenzie Buie-Morrow
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Green Bay, WI
NPI 1689417594 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1689417594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 20594 (WI)
- Practice address
- 2357 W Mason St
Green Bay, WI 54303-4708 - Phone
- (920) 337-6741
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20594 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Addiction Management Inc | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
| Quality Addiction Management Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20594 | WI | Yes |
Addresses
Primary practice location
2357 W Mason St
Green Bay, WI 54303-4708
Mailing address
2357 W Mason St
Green Bay, WI 54303-4708
Other providers in Green Bay, WI
- Anjali Budhathoki
- Daniel Joseph Budreau
- Lynn Marie Budzak
- Grace Madison Buechel
- Dyann Elizabeth Buechler
- William R Buikus
- Building Resilience Counseling, LLC
- Bulin Pmhnp Health Services
- Patrick Buranicz
- Samantha Jo Burch
All providers in Green Bay, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.