Individual provider · Type 1 NPI

Macy Eide, MS, LAC

Mental Health Counselor · Mesa, AZ

NPI number 1396644894 Active

Practice location

54 S Center St
Mesa, AZ 85210-1306

Mailing address

16412 S 18th Dr
Phoenix, AZ 85045-1628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-24484 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1396644894

Macy Eide, MS, LAC's National Provider Identifier is 1396644894, issued on Nov 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Nov 2, 2026.