Healthcare Provider Details

I. General information

NPI: 1922932508
Provider Name (Legal Business Name): MCKENZIE P BENZ RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 NE 125TH ST STE 320
NORTH MIAMI FL
33161-5010
US

IV. Provider business mailing address

3052 SW 27TH AVE APT 301
MIAMI FL
33133-5372
US

V. Phone/Fax

Practice location:
  • Phone: 786-842-0444
  • Fax:
Mailing address:
  • Phone: 561-313-6114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29258
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: