Provider Demographics
NPI:1578224648
Name:MACKLEY, TORI JUSTINE (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TORI
Middle Name:JUSTINE
Last Name:MACKLEY
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 CARLISLE RD STE 402
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4005
Mailing Address - Country:US
Mailing Address - Phone:717-220-3227
Mailing Address - Fax:
Practice Address - Street 1:2217 CARLISLE RD STE 402
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4005
Practice Address - Country:US
Practice Address - Phone:717-220-3227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-31
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014052101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty