Provider Demographics
NPI:1760156111
Name:MACKEY, EMMALEE
Entity type:Individual
Prefix:
First Name:EMMALEE
Middle Name:
Last Name:MACKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMMALEE
Other - Middle Name:
Other - Last Name:WINDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8200 BECKETT PARK DR STE 111
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9316
Mailing Address - Country:US
Mailing Address - Phone:513-254-0880
Mailing Address - Fax:
Practice Address - Street 1:8200 BECKETT PARK DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-9310
Practice Address - Country:US
Practice Address - Phone:513-991-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
OHI.25070641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker