MS. MARY LOUISE MACK


Address: 2633 West Blvd, Charlotte, NC 28208-6705
Phone: 7045214977

MS. MARY LOUISE MACK (NPI# 1104930700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104930700
Entity Type Individual
Full Name MS. MARY LOUISE MACK
Other Name MS. M. MACK
Credential LPC, NCC
Practice Address 2633 West Blvd
Charlotte
NC 28208-6705
Mailing Address 886 Carter Dr
Calabash
NC 28467-2537
Practice Telephone 7045214977
Practice Fax Number 7045218541
Mailing Telephone 9109870027
Mailing Fax Number 9107633169
Enumeration Date 2006-08-19
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3559 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6005166 05
NC 6102583 05

Other Providers MARY MACK

NPI Name Taxonomy Address Enumeration
1487947677 Mary Lynn Mack Social Worker 420 Washington Ave, Cuyahoga Falls, OH 44221-2039 2011-05-19
1700811015 Mary Lynne Mack Psychologist 20700 Watertown Rd Ste 240, Waukesha, WI 53186-1800 2006-07-12
1962023598 Mary Mack Nurse Practitioner 3805 San Dimas St Ste B, Bakersfield, CA 93301-5725 2020-05-05
1548824238 Mary Mack Social Worker 525 W Brown Rd, Mesa, AZ 85201-3202 2019-04-28
1851682181 Mary Colleen Mack Counselor 151 N Main St, Decatur, IL 62523-1206 2011-04-20
1639349475 Mary Lillian Mack Registered Nurse 121 S Dixie Ave, Cookeville, TN 38501-3401 2008-03-07

Office Location

Street Address 2633 WEST BLVD
City CHARLOTTE
State NC
Zip Code 28208-6705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861852261 Anita Sheryll Wiley-holman Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2016-02-26
1073991832 Julie Kathleen Campbell Social Worker 2633 West Blvd, Charlotte, NC 28208-6705 2015-05-13
1306232152 Therese Newton Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2015-04-08
1083028518 Tashina Stout Social Worker 2633 West Blvd, Charlotte, NC 28208-6705 2014-06-12
1225441736 Amanda Justice Social Worker 2633 West Blvd, Charlotte, NC 28208-6705 2014-06-03
1215350681 Lakisha Raymon Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2014-01-21
1811339351 Theodore-joel U Oparah Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2013-07-25
1124464805 Andrea Renee Whitener Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2013-05-21
1205184173 Jennifer Marie Efune Counselor 2633 West Blvd, Charlotte, NC 28208-6705 2012-08-26
1912237926 Access Family Services, Inc. Family Medicine 2633 West Blvd, Charlotte, NC 28208-6705 2010-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1750929659 Tru Pearl Solution Services Pllc Community/Behavioral Health 2128 Remount Road Suite B, Charlotte, NC 28208 2019-12-11
1245880699 Camilla A Raley Technician 1539 Walton Rd, Charlotte, NC 28208 2019-09-18
1912567041 Nolan Scott Blake In Home Supportive Care 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 2019-06-20
1699244145 Catalyst Chiropractic, Pllc Chiropractor 2620 Tuckaseegee Rd., Charlotte, NC 28208 2018-11-14
1255854691 Jessica Lynne Hunter Social Worker 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 2017-07-18
1700311420 Matthew Christian Mundorf Chiropractor 2620 Tuckaseegee Rd, Charlotte, NC 28208 2017-05-01
1700235439 Erin Merchant Counselor 2016 Millerton Avenue, #2213, Charlotte, NC 28208 2016-06-03
1528432564 Monika Sheree Moore Counselor 3205 Freedom Dr, Charlotte, NC 28208 2015-11-13
1205224540 Phadality Home Care Home Health 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 2015-01-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457962789 Art of Expression, Pllc Counselor 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 2020-08-11
1952925141 Leanna R Rice Counselor 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 2020-06-03
1902429772 Sunshine Care LLC Counselor 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 2020-05-27
1194348557 Immerse & Emerge Counseling Counselor 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 2020-05-20
1477174464 Oliver's Contracting, Consulting, & Counseling Services, Pllc Counselor 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 2020-04-30
1720619679 John Wesley Goodwin IIi Counselor 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 2020-01-30
1063059731 Justina Mame Adadewa Ankrah Counselor 3001 Buckleigh Dr, Charlotte, NC 28215-7538 2019-12-02
1538704051 Hattie M Williams Counselor 7517 Orr Rd, Charlotte, NC 28213-6544 2019-11-07
1720623390 Maylee Vazquez Counselor 201 Stetson Dr, Charlotte, NC 28262-3364 2019-11-07
1053955468 Hollis Wilson Counselor 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 2019-10-30
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Competitor

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City CHARLOTTE
Zip Code 28208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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