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JACQUELINE MACK M.H.P, M.A.
NPI 1114046687
Counselor - Mental Health in Manning, SC

Active since March 28, 2007
215 COMMERCE ST, MANNING, SC 29102(803) 435-2124 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Mack M.h.p, M.a. NPPES

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

JACQUELINE MACK M.H.P, M.A. (NPI 1114046687) is an individual mental health provider in Manning, South Carolina and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114046687
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MACKCredential: M.H.P, M.A.
Location Address215 COMMERCE STManning, SC 29102-2638
Mailing Address215 N Magnolia StSumter, SC 29150-4943
Phone(803) 435-2124
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 21, 2007
✔ NPI 1114046687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
215 COMMERCE ST, Manning, SC 29102
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Other Identifiers 1

Medicaid376241SC

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASHANA BARR
Counselor (Mental Health)
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124
KATRINIA DENISE MCFADDEN
Counselor (Mental Health)
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124
MRS. SHAVONDA DENISE JORDAN MSW, PLCSW,LCASA
Social Worker (Clinical)
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124
AALIYAH GAYLE MCCALL
Social Worker
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124
MEGAN HOVERMALE RN
Registered Nurse
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124
MS. CHERYL D RAGIN
Counselor (Mental Health)
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2214
BLONZETTA LAVERNE HAMILTON-DEMAREE
Counselor
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (859) 231-3747
MS. FANTASIA TRENELL SINGLETON LMSW
Social Worker
215 COMMERCE ST
MANNING, SC 29102
Clarendon County (803) 435-2124

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 Jacqueline Mack's NPI number?

The NPI number for Jacqueline Mack is 1114046687. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jacqueline Mack located?

Jacqueline Mack practices at 215 Commerce St, Manning, SC 29102. The listed phone number is (803) 435-2124.

What is Jacqueline Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Mack was last updated on August 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.