MRS. CAROL JO MACK LCSW NPI 1356566293

NPI Information

NPI: 1356566293
Provider Name: MRS. CAROL JO MACK, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
8631 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 787-5100
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MRS. Carol Jo Mack, LCSW is a mental health counselor in Saint Louis, MO with 41 years of experience. MRS. Carol Jo Mack, LCSW NPI is 1356566293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8631 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63124-990
Phone: (314) 787-5100
Fax: (314) 754-2800

The NPI 1356566293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2003032210	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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