MRS. JENNA A MACK M.ED LPC NPI 1417208612

NPI Information

NPI: 1417208612
Provider Name: MRS. JENNA A MACK, M.ED, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1207 S WHITE CHAPEL BLVD STE 105
SOUTHLAKE, TX
ZIP 76092
Phone: (214) 810-3756
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MRS. Jenna A Mack, M.ED, LPC is a mental health counselor in Southlake, TX. MRS. Jenna A Mack, M.ED, LPC NPI is 1417208612. 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:

1207 S WHITE CHAPEL BLVD STE 105
SOUTHLAKE, TX
ZIP 76092-315
Phone: (214) 810-3756

The enumeration date for this NPI number is 9/27/2012 and was last updated on 10/15/2015.

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	66288	TEXAS	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: 11/14/2023

NPI Synchronization or Removal

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