Mackenzie Elliott
Individual provider Active NPI Speech-Language Pathologist · King, NC
NPI 1861330722 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1861330722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 30004306 (NC)
- Practice address
- 152 E School St
King, NC 27021-7954 - Phone
- (336) 983-5824
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 30004306 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Haven Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30004306 | NC | Yes |
Addresses
Primary practice location
152 E School St
King, NC 27021-7954
Mailing address
100 Courthouse Cir
Danbury, NC 27016-7600
Phone (336) 536-9010
Other providers in King, NC
- Gregory Ray Dunkelberger
- Eckerd Corporation
- Edward Bell, DDS, PA
- Jessica Agatha Edwards
- Noah Ethan Eggers
- Eboni Malkia Ellis Farabee
- Enduracare Acute Care Services LLC
- Amy Walser Evans
- Brittany Bell Everett
- Eyecarecenter OD PA
All providers in King, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. 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.