| Mrs Desra Mack, LPC | |
|
1141 N Road St, Suite L, Elizabeth City, NC 27909-3354 | |
| (252) 335-0803 | |
| (252) 331-1796 |
| Full Name | Mrs Desra Mack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1141 N Road St, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588761530 | NPI | - | NPPES |
| 6103306 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5415 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Desra Mack, LPC 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 Ph: (252) 830-7540 | Mrs Desra Mack, LPC 1141 N Road St, Suite L, Elizabeth City, NC 27909-3354 Ph: (252) 335-0803 |
Kristina Mills-gregory, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 W Church St, Elizabeth City, NC 27909 Phone: 252-331-0322 Fax: 252-331-0320 | |
Mrs. Wendi Dawn Nixon, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Foxboro Dr, Elizabeth City, NC 27909 Phone: 866-873-4173 Fax: 252-337-7514 | |
Mrs. Jamie Koller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Water St, Elizabeth City, NC 27909 Phone: 252-333-4569 | |
Elizabeth Marie Thomas, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1241 N Road St, #a, Elizabeth City, NC 27909 Phone: 252-331-9576 Fax: 252-335-5365 | |
Mrs. Joann Kaminski, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E Elizabeth St, Elizabeth City, NC 27909 Phone: 252-619-0319 | |
Patricia Reading, MSED, NCC, LPC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Main St, Suite 201, Elizabeth City, NC 27909 Phone: 252-338-5334 Fax: 252-338-1779 | |
Mrs. Melissa Dawn Henry, LPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W Church St, Elizabeth City, NC 27909 Phone: 978-768-8744 |