DR. LINDA COOPER LACK PHD
NPI 1043357064
Counselor - Professional in Myrtle Beach, SC

Q: What is Linda Lack's NPI number?

The NPI number for Linda Lack is 1043357064. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Linda Lack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Linda Lack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007

1371 WADING BIRD LANE, MYRTLE BEACH, SC 29577(843) 448-6516 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Linda Cooper Lack Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LINDA COOPER LACK PHD (NPI 1043357064) is an individual professional provider in Myrtle Beach, South Carolina, licensed in South Carolina (1776) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043357064

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. LINDA COOPER LACKCredential: PHD

Location Address1371 WADING BIRD LANEMyrtle Beach, SC 29577

Mailing AddressPo Box 70478Myrtle Beach, SC 29572-0026 · (843) 602-4284 · Fax (843) 448-6516

Phone(843) 448-6516

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043357064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 1776

1371 WADING BIRD LANE, Myrtle Beach, SC 29577

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Linda Lack's NPI number?

The NPI number for Linda Lack is 1043357064. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Linda Lack located?

Linda Lack practices at 1371 Wading Bird Lane, Myrtle Beach, SC 29577. The listed phone number is (843) 448-6516.

What is Linda Lack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Linda Lack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.