| Doctor Name: | MS. EILEAN L.M. MACKENZIE |
| NPI Number: | 1144544826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 65189 |
| Business Practice Address: | 4910 Airport Ave Building D Rosenberg, TX - 774715759 |
| Business Phone Number: | 9795326123 |
| Business Fax Number: | 9795320312 |
| Mailing Address: | 4910 Airport Ave, Building D ROSENBERG |
| State: | TX |
| Postal Code: | 774715759 |
| Phone Number: | 9795326123 |
| Fax Number: | 9795320312 |
| NPI Enumeration Date: | 03/24/2010 |
| NPI Last Update Date: | 03/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 65189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |