MACKENZIE BREITHAUPT NPI 1417697095

NPI Information

NPI: 1417697095
Provider Name: MACKENZIE BREITHAUPT
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
105 HALL ST UNIT A
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 965-3762
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Mackenzie Breithaupt is a peer specialist in Traverse City, MI. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Mackenzie Breithaupt NPI is 1417697095. 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:

105 HALL ST UNIT A
TRAVERSE CITY, MI
ZIP 49684-288
Phone: (231) 965-3762

The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.

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	175T00000X	Peer Specialist				Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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