Dr. Cary Nelson Mack, Phd

LBN: Cary Nelson Mack
Dr. Cary Nelson Mack, Phd is an health care organization with primary practice located at 9229 Bluebonnet Blvd Ste. B, Baton Rouge LA 70810-2808. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Cary Nelson Mack can be contacted via phone (225) 766-7470, or through Mack, Cary Nelson via phone (225) 766-7470.

Contact Information

Primary practice address
9229 Bluebonnet Blvd Ste. B Baton Rouge LA 70810-2808
Fax: (225) 766-7473
Website:
Authorized official contact:
Name: Mack, Cary Nelson PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1035 Louisiana

Profile Details

NPI number 1396151866
LBN Legal business name Cary Nelson Mack
DBA Doing business as Dr. Cary Nelson Mack, Phd
Authorized official Mack, Cary Nelson PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2014
Last updated Jul 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396151866 NPPES
Louisiana MEDICAID 1345661

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