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EBONY MACK
NPI 1720820921
Counselor - Professional in Cordova, TN

Active since June 10, 2024
293 S WALNUT BEND RD, CORDOVA, TN 38018(901) 206-5604 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 8, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Ebony Mack NPPES

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

EBONY MACK (NPI 1720820921) is an individual professional provider in Cordova, Tennessee and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1720820921
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY MACK
Location Address293 S WALNUT BEND RDCordova, TN 38018-7284
Mailing Address293 S Walnut Bend RdCordova, TN 38018-7284 · (901) 206-5604
Phone(901) 206-5604
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1720820921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
293 S WALNUT BEND RD, Cordova, TN 38018
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Other Providers at the Same Location NPPES 3

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

MR. CHRISTOPHER IRVING MATHEWS JR. LCSW
Social Worker (Clinical)
293 S WALNUT BEND RD
CORDOVA, TN 38018
Shelby County (901) 206-5604
CANESHIA WOLOBAH LMSW
Social Worker
293 S WALNUT BEND RD
CORDOVA, TN 38018
Shelby County (901) 206-5604
MR. TARIK IMMANUEL NCC, LPC/MHSP (TEMP)
Counselor (Mental Health)
293 S WALNUT BEND RD
CORDOVA, TN 38018
Shelby County (901) 206-5604

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 Ebony Mack's NPI number?

The NPI number for Ebony Mack is 1720820921. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Ebony Mack located?

Ebony Mack practices at 293 S Walnut Bend Rd, Cordova, TN 38018. The listed phone number is (901) 206-5604.

What is Ebony Mack'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 Ebony Mack was last updated on July 8, 2024. 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.