Mack, Carol

Mack, Carol is an individual health care provider with primary practice located at 1530 N Country Club Dr Ste 19 , Mesa AZ 85201-2560. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Mack, Carol can be contacted via phone (520) 582-7418.

Contact Information

Primary practice address
1530 N Country Club Dr Ste 19 Mesa AZ 85201-2560
Phone: (520) 582-7418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1861929689
LBN Legal business name Mack, Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 8 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.

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