DESIREE MARIE-WILSON MACY NPI 1235826660

NPI Information

NPI: 1235826660
Provider Name: DESIREE MARIE-WILSON MACY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3425 13TH ST
BAKER CITY, OR
ZIP 97814
Phone: (541) 523-7400
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Desiree Marie-wilson Macy is a mental health counselor in Baker City, OR. Desiree Marie-wilson Macy NPI is 1235826660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3425 13TH ST
BAKER CITY, OR
ZIP 97814-340
Phone: (541) 523-7400
Fax: (541) 523-4927

The enumeration date for this NPI number is 4/18/2023 and was last updated on 7/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	QMHPVARIANCE	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6775055	OTHER	OREGON	ODL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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