Provider Demographics
NPI:1194549824
Name:MORSE, MAKENZIE JADE (PSY S, NCSP)
Entity type:Individual
Prefix:MRS
First Name:MAKENZIE
Middle Name:JADE
Last Name:MORSE
Suffix:
Gender:F
Credentials:PSY S, NCSP
Other - Prefix:MS
Other - First Name:MAKENZIE
Other - Middle Name:JADE
Other - Last Name:FEILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 ANDERSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5231
Mailing Address - Country:US
Mailing Address - Phone:270-307-9049
Mailing Address - Fax:
Practice Address - Street 1:512 ANDERSON FERRY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-5231
Practice Address - Country:US
Practice Address - Phone:270-307-9049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.00707103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool