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Mackenzie R Humphreys

Case Manager/Care Coordinator in Athens, OH. Individual provider (NPI-1).

NPI number1609708346
StatusActive
Last updated in NPPESMay 29, 2026

Details

NPI
1609708346
Entity type
Individual (NPI-1)
Name
Mackenzie R Humphreys
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2026
Certification date
May 29, 2026
Last updated
May 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
172V00000X Community Health Worker––

Practice location

11 Graham Dr
Athens, OH 45701-1430

Phone 800-321-8293 · Fax 800-321-8293

Mailing address

Po Box 132
Athens, OH 45701-0132

Phone 800-321-8293 · Fax 800-321-8293

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