Mack, Kevin
Mack, Kevin is an sole proprietor health care provider with primary practice located at 7322 Southwest Fwy Ste 1055 , Houston TX 77074-2089. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mack, Kevin can be contacted via phone (462) 798-1753.Contact Information
Primary practice address
7322 Southwest Fwy Ste 1055
Houston TX 77074-2089
Phone: (462) 798-1753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 82836 | Texas |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 82836 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 82836 | Texas |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 82836 | Texas |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 82836 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 82836 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 82836 | Texas |
Profile Details
| NPI number | 1972144392 |
|---|---|
| LBN Legal business name | Mack, Kevin |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2019 |
| Last updated | Jun 18th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972144392 | NPPES |
| Texas | Other | 27286854 | DRIVERS LICENSE |
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