Healthcare Provider Details

I. General information

NPI: 1215869631
Provider Name (Legal Business Name): MAKENZIE WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 STONEGATE WAY APT 4
PLATTSBURGH NY
12901-5034
US

IV. Provider business mailing address

6 STONEGATE WAY APT 4
PLATTSBURGH NY
12901-5034
US

V. Phone/Fax

Practice location:
  • Phone: 908-300-1776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: