GERACI MACK LBSW, MHA, CHAPLAIN
NPI 1487209003
Public Health or Welfare in Gladewater, TX
- Individual
- Female
- Public Health or Welfare
About GERACI MACK
This page provides the complete NPI Profile along with additional information for Geraci Mack, a provider established in Gladewater, Texas with a medical specialization in Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1487209003 assigned on August 2019. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1487209003 Verify this NPI
- Provider Name
- GERACI MACK LBSW, MHA, CHAPLAIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 408 W UPSHUR AVE GLADEWATER, TX 75647
- Location Phone
- (903) 918-8152
- Mailing Address
- 408 W UPSHUR AVE GLADEWATER, TX 75647
- Mailing Phone
- (903) 918-8152
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-09-2019
- Last Update Date
- 08-09-2019
- Code Navigator
Location Map
Secondary Locations
- 15995 FM 2493
Tyler, TX 75703
(903) 918-8152
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | (TX) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | (TX) |
| 3 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | (TX) |
| 4 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 26197 (TX) |
| 5 | 251S00000X | Agencies | Community/Behavioral Health | (TX) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487209003, enumerated as an "individual" on August 09, 2019.
The provider is located at 408 W UPSHUR AVE GLADEWATER, TX 75647 and the phone number is (903) 918-8152.
Public Health or Welfare with taxonomy code 251K00000X.
