Provider Demographics
NPI:1902364722
Name:MCKINZIE, HELEN E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:E
Last Name:MCKINZIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HELNE
Other - Middle Name:
Other - Last Name:MCKINZIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3630
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86003-3630
Mailing Address - Country:US
Mailing Address - Phone:928-522-9879
Mailing Address - Fax:
Practice Address - Street 1:1120 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2851
Practice Address - Country:US
Practice Address - Phone:928-522-1300
Practice Address - Fax:928-522-1300
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-11
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX597711041C0700X
AZLCSW-189211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX59771OtherTEXAS STATE BOARD OF SOCIAL WORK EXAMINERS