Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Wise

Individual provider Mental Health Counselor · NPI 1407617467

Mackenzie Wise is a Mental Health Counselor in Beavercreek, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3171 Beaver Vu Dr Ste C
Beavercreek, OH 45434-6368
Phone: (937) 306-8077
Fax: (937) 306-8079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C.2405463-TRNE (OH)
Counselor Taxonomy 101Y00000X · Licence C.2405463-TRNE (OH)

Record details

NPI number1407617467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address3171 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6368

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