Provider Demographics
NPI:1306119235
Name:MCGEE, MARK T (LMHC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:T
Last Name:MCGEE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 S MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PORTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14770-9704
Mailing Address - Country:US
Mailing Address - Phone:716-202-0615
Mailing Address - Fax:
Practice Address - Street 1:96 S MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:PORTVILLE
Practice Address - State:NY
Practice Address - Zip Code:14770-9704
Practice Address - Country:US
Practice Address - Phone:716-202-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health