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CARLA JACK LCSW
NPI 1992306989
Counselor - Mental Health in Decatur, GA

Active since November 05, 2020
4151 MEMORIAL DR STE 209C, DECATUR, GA 30032(404) 508-0078(404) 508-0071 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carla Jack Lcsw NPPES

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

CARLA JACK LCSW (NPI 1992306989) is an individual mental health provider in Decatur, Georgia, licensed in Georgia (CSW006674) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1992306989
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARLA JACKCredential: LCSW
Location Address4151 MEMORIAL DR STE 209CDecatur, GA 30032-1597
Mailing Address4151 Memorial Dr Ste 209cDecatur, GA 30032-1597 · (404) 508-0078 · Fax (404) 508-0071
Phone(404) 508-0078
Fax(404) 508-0071
Sole ProprietorNo
Enumeration DateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
✔ NPI 1992306989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · CSW006674
4151 MEMORIAL DR STE 209C, Decatur, GA 30032
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Other Providers at the Same Location NPPES

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

FRANK MCALLISTER
Counselor (Mental Health)
4151 MEMORIAL DR STE 209C
DECATUR, GA 30032
Dekalb County (404) 508-0078

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 Carla Jack's NPI number?

The NPI number for Carla Jack is 1992306989. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Carla Jack located?

Carla Jack practices at 4151 Memorial Dr Ste 209C, Decatur, GA 30032. The listed phone number is (404) 508-0078.

What is Carla Jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carla Jack was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.