Provider Demographics
NPI:1861383549
Name:MCKENZIE, SOPHIA ELAINE (LPMHC)
Entity type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:ELAINE
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:LPMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9112 175TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5559
Mailing Address - Country:US
Mailing Address - Phone:646-538-2362
Mailing Address - Fax:
Practice Address - Street 1:6603 BEACH CHANNEL DR
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1433
Practice Address - Country:US
Practice Address - Phone:718-471-8671
Practice Address - Fax:718-474-2900
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health