Provider Demographics
NPI:1952184483
Name:KIRSCH, MACKENZIE (LCMHC)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 BOOKER CREEK RD APT 17H
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5109
Mailing Address - Country:US
Mailing Address - Phone:919-696-6532
Mailing Address - Fax:
Practice Address - Street 1:620 W LANE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-2194
Practice Address - Country:US
Practice Address - Phone:984-285-2783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health