Mack, Kadeshia

Mack, Kadeshia is an individual health care provider with primary practice located at 1451 Retail Row , Hartsville SC 29550-4258. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mack, Kadeshia can be contacted via phone (843) 383-4848.

Contact Information

Primary practice address
1451 Retail Row Hartsville SC 29550-4258
Phone: (843) 383-4848
Fax: (843) 383-4828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1093481921
LBN Legal business name Mack, Kadeshia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2021
Last updated Aug 20th, 2021 - about 5 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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