| Doctor Name: | MR. JOSEPH E MACK |
| NPI Number: | 1548392913 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CACII |
| License Number: | 0601161 |
| Business Practice Address: | 601 Gregg Avenue Circle Park Behavioral Health Services Florence, SC - 295026196 |
| Business Phone Number: | 8436659349 |
| Business Fax Number: | 8436696122 |
| Mailing Address: | 123 E Sam Harrell Rd, FLORENCE |
| State: | SC |
| Postal Code: | 29506 |
| Phone Number: | 8436676839 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0601161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |