MRS. KATHLEEN SHACK M.S., LMFT
NPI 1164567137
Marriage & Family Therapist in Lawrenceville, GA

Q: What is Kathleen Shack's NPI number?

The NPI number for Kathleen Shack is 1164567137. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Kathleen Shack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Shack 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 February 20, 2007

290 CONSTITUTION BLVD, SUITE D, LAWRENCEVILLE, GA 30045(678) 220-0090 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kathleen Shack M.s., Lmft NPPES

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

MRS. KATHLEEN SHACK M.S., LMFT (NPI 1164567137) is an individual marriage & family therapist in Lawrenceville, Georgia, licensed in Georgia (0000928) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1164567137

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KATHLEEN SHACKCredential: M.S., LMFT

Location Address290 CONSTITUTION BLVD, SUITE DLawrenceville, GA 30045-5638

Mailing Address5825 Millwick DrAlpharetta, GA 30005-6732 · (678) 770-2200

Phone(678) 220-0090

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164567137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in GA · 0000928

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

290 CONSTITUTION BLVD, Lawrenceville, GA 30045

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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 Kathleen Shack's NPI number?

The NPI number for Kathleen Shack is 1164567137. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Kathleen Shack located?

Kathleen Shack practices at 290 Constitution Blvd Suite D, Lawrenceville, GA 30045. The listed phone number is (678) 220-0090.

What is Kathleen Shack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Shack 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.