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NPI Code Detail

MEDICARE: MACKENZIE POWERS MHC-LP

MEDICARE: MACKENZIE POWERS MHC-LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP131590NY

General Provider Information

NPI Number : 1598693822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE POWERS MHC-LP
Provider Business Mailing Address
First Line : 1 ADLER DR STE 5
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-1223
Country : US
Telephone Number : 315-415-0308
Fax Number :
Provider Business Practice Location Address
First Line : 1 ADLER DR STE 5
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-1223
Country : US
Telephone Number : 315-415-0308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ MACKENZIE POWERS MHC-LP” Practice Location

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