Mack, Allison
Mack, Allison is an sole proprietor health care provider with primary practice located at 2138 Broadway St , Paducah KY 42001-7110. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mack, Allison can be contacted via phone (270) 449-1601.Contact Information
Primary practice address
2138 Broadway St
Paducah KY 42001-7110
Phone: (270) 449-1601
Fax: (270) 220-0594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 281994 | Kentucky |
Profile Details
| NPI number | 1144763657 |
|---|---|
| LBN Legal business name | Mack, Allison |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2016 |
| Last updated | Mar 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144763657 | NPPES |
| Kentucky | MEDICAID | 7100876200 |
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