IndividualActive
Reginald Mckenzie, CPS-AD
NPI 1235932633 · Peer Specialist · Tucker, GA
Provider details
- NPI number
- 1235932633
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CPS-AD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1957 Lakeside Pkwy Ste 510
Tucker, GA 30084-5859
Phone: (678) 289-0313
Fax: (404) 289-0314
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 479
Avondale Estates, GA 30002-0479
Additional practice locations (1)
- 4229 Snapfinger Woods DrDecatur, GA 30035-3440Phone: (404) 286-9252Fax: (404) 286-9253
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.