Provider Demographics
NPI:1760353742
Name:PARRIS, MCKENZIE RAE (MS, MFT-INTERN)
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:RAE
Last Name:PARRIS
Suffix:
Gender:F
Credentials:MS, MFT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 BEXLEY SQ APT 405
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37410-3409
Mailing Address - Country:US
Mailing Address - Phone:615-945-6781
Mailing Address - Fax:
Practice Address - Street 1:400 E MAIN ST STE 220
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1331
Practice Address - Country:US
Practice Address - Phone:423-458-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist