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KANEISHA MACK CPS-WH
NPI 1952862286
Peer Specialist in Lagrange, GA

Active since March 28, 2019
122 GORDON COMMERCIAL DR, LAGRANGE, GA 30240(706) 845-4054 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaneisha Mack Cps-wh NPPES

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

KANEISHA MACK CPS-WH (NPI 1952862286) is an individual peer specialist in Lagrange, Georgia and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1952862286
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKANEISHA MACKCredential: CPS-WH
Location Address122 GORDON COMMERCIAL DRLagrange, GA 30240-5754
Mailing Address122 Gordon Commercial DrLagrange, GA 30240-5754
Phone(706) 845-4054
Sole ProprietorYes
Enumeration DateMarch 28, 2019
✔ NPI 1952862286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
122 GORDON COMMERCIAL DR, Lagrange, GA 30240
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Other Providers at the Same Location NPPES 15

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

MS. BAXLEE BYNUM M.ED, NCC
Counselor (Mental Health)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4045
MS. KELSEY S HENDERSON
Counselor (Professional)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4045
SHAWN ALLEN DROGE S/T
Marriage & Family Therapist
122 GORDON COMMERCIAL DR, SUITE D
LAGRANGE, GA 30240
Troup County (706) 845-4054
TERRY LYNN MANNING
Social Worker (Clinical)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4054
MRS. LANISHA CARMEN RIVERS
Counselor (Mental Health)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4054
KASEY ROSS
Counselor (Professional)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4054
KOLBY SANCHEZ S/T, MA
Counselor (Mental Health)
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4054
BLANCHE A. DELOACH RD, LD
Dietitian, Registered
122 GORDON COMMERCIAL DR
LAGRANGE, GA 30240
Troup County (706) 845-4035

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 Kaneisha Mack's NPI number?

The NPI number for Kaneisha Mack is 1952862286. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Kaneisha Mack located?

Kaneisha Mack practices at 122 Gordon Commercial Dr, Lagrange, GA 30240. The listed phone number is (706) 845-4054.

What is Kaneisha Mack's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kaneisha Mack was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.