Provider Demographics
NPI:1306546668
Name:LECHNOWSKYJ, MAKAYLA MARIE (LCMHC-A, LCAS)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:MARIE
Last Name:LECHNOWSKYJ
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HADLEY PARK WAY
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6604
Mailing Address - Country:US
Mailing Address - Phone:619-456-5446
Mailing Address - Fax:
Practice Address - Street 1:10 HADLEY PARK WAY
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-6604
Practice Address - Country:US
Practice Address - Phone:619-456-5446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18394101YM0800X
NCLCAS-28666101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health