Healthcare Provider Details
I. General information
NPI: 1831078690
Provider Name (Legal Business Name): MACKESSY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 WHITMOOR TER
SILVER SPRING MD
20901-1519
US
IV. Provider business mailing address
130 WHITMOOR TER
SILVER SPRING MD
20901-1519
US
V. Phone/Fax
- Phone: 202-961-8671
- Fax:
- Phone: 202-961-8671
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
MACKESSY-LLOYD
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 202-961-8671