Healthcare Provider Details

I. General information

NPI: 1043073919
Provider Name (Legal Business Name): BRITTANY MCKENZIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 SALTERBECK ST STE 206
MOUNT PLEASANT SC
29466-7119
US

IV. Provider business mailing address

3404 SALTERBECK ST STE 206
MOUNT PLEASANT SC
29466-7119
US

V. Phone/Fax

Practice location:
  • Phone: 843-732-0022
  • Fax:
Mailing address:
  • Phone: 843-732-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6865C
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC020166
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18654
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: