Healthcare Provider Details

I. General information

NPI: 1568057180
Provider Name (Legal Business Name): MCKENZIE ELIZABETH POWERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MCKENZIE ELIZABETH RACINE LPC

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 4TH ST STE 165
HUDSON WI
54016-2404
US

IV. Provider business mailing address

150 W 1ST ST STE 270
NEW RICHMOND WI
54017-1770
US

V. Phone/Fax

Practice location:
  • Phone: 763-210-9966
  • Fax:
Mailing address:
  • Phone: 715-246-4840
  • Fax: 715-254-9459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: