1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Counselor
  6. NPI Profile

MARK IRWIN LACKMANN LADAC I; CADC I
NPI 1689449803
Counselor - Addiction (Substance Use Disorder) in Memphis, TN

Active since November 17, 2023
661 MADISON AVE, MEMPHIS, TN 38103(901) 267-4008 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Irwin Lackmann Ladac I; Cadc I NPPES

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

MARK IRWIN LACKMANN LADAC I; CADC I (NPI 1689449803) is an individual addiction (substance use disorder) provider in Memphis, Tennessee, licensed in Tennessee (LDC0000001357) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1689449803
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK IRWIN LACKMANNCredential: LADAC I; CADC I
Location Address661 MADISON AVEMemphis, TN 38103-3307
Mailing Address3045 Leeridge DrBartlett, TN 38134-3613 · (505) 402-3138
Phone(901) 267-4008
Sole ProprietorNo
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1689449803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in TN · LDC0000001357✔ Licensed in TN · TN-006
661 MADISON AVE, Memphis, TN 38103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

HETTIE SUSIE GIBBS M.D.
Internal Medicine
661 MADISON AVE, SUITE A
MEMPHIS, TN 38103
Shelby County (901) 527-2417
MR. JARED MYLES DAVIS LPC/MHSP, NCC
Counselor (Mental Health)
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4008
KATHRYN GRACE OGLETREE LMSW
Social Worker
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4008
ROCHELLE REYLE LPC-MHSP
Counselor (Professional)
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4015
MRS. BETHANY MICHELE HANCZOR LPC-MHSP
Counselor (Professional)
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4008
EMILY PAIGE HUDSON LPC-MHSP
Counselor (Professional)
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4000
JEREMY HOWARD
Counselor (Mental Health)
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4008
NAKISHA NICOLE TODD
Counselor
661 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 267-4008

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 Mark Lackmann's NPI number?

The NPI number for Mark Lackmann is 1689449803. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Mark Lackmann located?

Mark Lackmann practices at 661 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 267-4008.

What is Mark Lackmann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Lackmann was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.