DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. CAROL JO MACK LCSW

MEDICARE: MRS. CAROL JO MACK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2003032210MO

General Provider Information

NPI Number : 1356566293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL JO MACK LCSW
Provider Business Mailing Address
First Line : 2800 ELM ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4618
Country : US
Telephone Number : 314-787-5100
Fax Number : 314-754-2800
Provider Business Practice Location Address
First Line : 8631 DELMAR BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63124-1990
Country : US
Telephone Number : 314-787-5100
Fax Number : 314-754-2800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1841225935 — MRS. ALEX ANN ARNOLD LCSW
Practice Location Address:
8631 DELMAR BLVD.
ST LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800
1225063316 — MRS. JOANNA BURTON LCSW
Practice Location Address:
8631 DELMAR BLVD.
ST LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800
1164447611 — MRS. LISA A OTTOLINI MSW, LCSW
Practice Location Address:
8631 DELMAR BLVD
SAINT LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800
1487679916 — MRS. NANCY M MILLER MSW, LCSW
Practice Location Address:
8631 DELMAR BLVD
SAINT LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800
1588757686 — MS. LYNN E DUFFIELD MSW., LCSW
Practice Location Address:
8631 DELMAR BLVD
SAINT LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800
1023183159 — JULIE DIAZ LMHP
Practice Location Address:
8631 DELMAR BLVD
SAINT LOUIS, MO
63124-1990
Practice Phone: 314-787-5100
Practice Fax: 314-754-2800

Directions to “ MRS. CAROL JO MACK LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.