Provider Demographics
NPI:1861282881
Name:HOPKINS, MCKENZIE BROOKE (APC)
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:BROOKE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3789
Mailing Address - Country:US
Mailing Address - Phone:864-940-1529
Mailing Address - Fax:
Practice Address - Street 1:2826 HILLCREEK DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5628
Practice Address - Country:US
Practice Address - Phone:706-210-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health