GERACI MACK LBSW MHA CHAPLAIN NPI 1487209003

NPI Information

NPI: 1487209003
Provider Name: GERACI MACK, LBSW, MHA, CHAPLAIN
Classification: Public Health or Welfare - 251K00000X
Entity Type: Individual
Address:
408 W UPSHUR AVE
GLADEWATER, TX
ZIP 75647
Phone: (903) 918-8152
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Geraci Mack, LBSW, MHA, CHAPLAIN is a public health or welfare in Gladewater, TX. Geraci Mack, LBSW, MHA, CHAPLAIN NPI is 1487209003. 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:

408 W UPSHUR AVE
GLADEWATER, TX
ZIP 75647-124
Phone: (903) 918-8152

The enumeration date for this NPI number is 8/9/2019 and was last updated on 8/9/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)		TEXAS	No
2	101YM0800X	Counselor	Mental Health		TEXAS	No
3	101YP1600X	Counselor	Pastoral		TEXAS	No
4	104100000X	Social Worker		26197	TEXAS	No
5	251S00000X	Community/Behavioral Health			TEXAS	No
6	251K00000X	Public Health or Welfare			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: 5/5/2024

NPI Synchronization or Removal

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