D. Mack Consulting Llc | |
1614 Lincoln Ave Panama City FL 32405-3148 | |
(850) 774-5832 | |
Not Available |
Full Name | D. Mack Consulting Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1614 Lincoln Ave, Panama City, Florida |
Authorized Official Name and Position | Darrien Denard Mack (REGISTERED BEHAVIOR TECHNICIAN) |
Authorized Official Contact | 8507745832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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D. Mack Consulting Llc 1614 Lincoln Ave Panama City FL 32405-3148 Ph: (850) 774-5832 | D. Mack Consulting Llc 1614 Lincoln Ave Panama City FL 32405-3148 Ph: (850) 774-5832 |
NPI Number | 1134724263 |
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Provider Enumeration Date | 12/04/2020 |
Last Update Date | 12/04/2020 |
Certification Date | 12/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134724263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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