Healthcare Provider Details

I. General information

NPI: 1396058558
Provider Name (Legal Business Name): TURQUOISE MONEE MCKENZIE BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2010
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 GALAPAGO ST
DENVER CO
80204-3942
US

IV. Provider business mailing address

1164 S ACOMA ST UNIT 290
DENVER CO
80210-1602
US

V. Phone/Fax

Practice location:
  • Phone: 267-306-7266
  • Fax:
Mailing address:
  • Phone: 303-504-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: