Mack, Cary Nelson
Mack, Cary Nelson is an sole proprietor health care provider with primary practice located at 10517 Kentshire Ct , Baton Rouge LA 70810-2853. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Mack, Cary Nelson can be contacted via phone (225) 769-8335.Contact Information
Primary practice address
10517 Kentshire Ct
Baton Rouge LA 70810-2853
Phone: (225) 769-8335
Fax: (225) 769-8396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1035 | Louisiana |
Profile Details
| NPI number | 1477743193 |
|---|---|
| LBN Legal business name | Mack, Cary Nelson |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Apr 13th, 2014 - about 11 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 | 1477743193 | NPPES |
| Louisiana | MEDICAID | 1345661 |
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