MEDICARE: DR. APRIL JANITH MACK PHD

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
1	101YM0800X	Mental Health Counselor	12090	MA

General Provider Information

NPI Number	:	1407194822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APRIL JANITH MACK PHD

Provider Business Mailing Address
First Line	:	521 MOUNT HOPE ST STE 207C
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-618-9369
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 MOUNT HOPE ST STE 207C
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-618-9369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	05/08/2025

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