Doctor Name: | MR. WILLIAM MELVILLE MACK |
NPI Number: | 1407990476 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LPC |
License Number: | 5416 |
Business Practice Address: | 1985 Tate Blvd Se Suite 300 Hickory, NC - 28602 |
Business Phone Number: | 8283265960 |
Business Fax Number: | 8283284729 |
Mailing Address: | 1985 Tate Blvd Se, Suite 300 HICKORY |
State: | NC |
Postal Code: | 28602 |
Phone Number: | 8283265960 |
Fax Number: | 8283284729 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5416 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |