LARISSA ILLYN MACKERT M.ED., APC, NCC
NPI 1841189339
Counselor in Evans, GA
- Individual
- Female
- Counselor
About LARISSA MACKERT
This page provides the complete NPI Profile along with additional information for Larissa Mackert, a provider established in Evans, Georgia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1841189339 assigned on June 2025. The practitioner's primary taxonomy code is 101Y00000X with license number APC010419 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1841189339 Verify this NPI
- Provider Name
- LARISSA ILLYN MACKERT M.ED., APC, NCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 622 PONDER PLACE DR STE 2 EVANS, GA 30809
- Location Phone
- (706) 471-0603
- Mailing Address
- 622 PONDER PLACE DR STE 2 EVANS, GA 30809
- Mailing Phone
- (706) 471-0603
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-30-2025
- Last Update Date
- 06-30-2025
- Code Navigator
Location Map
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
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- APC010419
- License State
- GA
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
EVANS, GA 30809
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841189339, enumerated as an "individual" on June 30, 2025.
The provider is located at 622 PONDER PLACE DR STE 2 EVANS, GA 30809 and the phone number is (706) 471-0603.
Counselor with taxonomy code 101Y00000X.
