Provider Demographics
NPI:1982580262
Name:HORTON, MAKENZIE MARIE
Entity type:Individual
Prefix:MRS
First Name:MAKENZIE
Middle Name:MARIE
Last Name:HORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAKENZIE
Other - Middle Name:
Other - Last Name:WILKINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 WESTPARK DR STE 310
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3558
Mailing Address - Country:US
Mailing Address - Phone:770-750-4254
Mailing Address - Fax:
Practice Address - Street 1:500 WESTPARK DR STE 310
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3558
Practice Address - Country:US
Practice Address - Phone:770-750-4254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker