Healthcare Provider Details

I. General information

NPI: 1679495212
Provider Name (Legal Business Name): MACKENZIE BREES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 PEACHTREE ST NW STE 1800
ATLANTA GA
30303-1514
US

IV. Provider business mailing address

230 PEACHTREE ST NW STE 1800
ATLANTA GA
30303-1514
US

V. Phone/Fax

Practice location:
  • Phone: 404-526-1145
  • Fax: 404-526-1146
Mailing address:
  • Phone: 404-526-1145
  • Fax: 404-526-1146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW010397
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: