Provider Demographics
NPI:1558932160
Name:MIKAELA MCKEE COUNSELING, LLC
Entity Type:Organization
Organization Name:MIKAELA MCKEE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MIKAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-361-1463
Mailing Address - Street 1:4535 SOUTHWESTERN BLVD STE 206A
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1861
Mailing Address - Country:US
Mailing Address - Phone:716-361-1463
Mailing Address - Fax:
Practice Address - Street 1:2700 W 21ST ST STE 29
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-2972
Practice Address - Country:US
Practice Address - Phone:716-361-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty