NPI 1063812527

Carole Mackenzie LCSW

Organisation Adolescent and Children Mental Health Clinic/Center Hartford, CT

Practice location

Address: 674 Prospect Ave, Hartford, CT 06105-4288
Phone: (860) 231-7373
Fax: (860) 233-5736

Authorised official

Name: Carole Holabird Mackenzie
Title: Licensed Clinical Social Worker
Phone: (860) 231-7373

Registered specialties (3)

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 002083 (CT)

Other Clinic/Center providers in Connecticut →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 002083 (CT)

Other Social Worker providers in Connecticut →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 002083 (CT)

Registry record

NPI: 1063812527
Entity type: Organization
NPI issued: 2 Sep 2014
Record last updated: 4 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.