MEDICARE: MACKENZIE JOY DIFIORE LPC

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
1	101YP2500X	Professional Counselor	C.2608057	OH

General Provider Information

NPI Number	:	1811820665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE JOY DIFIORE LPC

Provider Business Mailing Address
First Line	:	1365 CORPORATE DR # A
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-4432
Country	:	US
Telephone Number	:	330-342-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CORPORATE DR # A
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-4432
Country	:	US
Telephone Number	:	330-342-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MACKENZIE JOY DIFIORE LPC” Practice Location

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