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Organization

M.A.C.K. MAKING ABILITIES COUNT WITH KINDNESS

Active
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Organization

M.A.C.K. MAKING ABILITIES COUNT WITH KINDNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA MACK (OWNER / EXECUTIVE DIRECTOR)
(323) 331-5995
Entity
Organization

Contact information

Practice address
303 W MANCHESTER BLVD STE 309, INGLEWOOD, CA 90301-1149
(323) 331-5995
Mailing address
303 W MANCHESTER BLVD STE 309, INGLEWOOD, CA 90301-1149
(323) 331-5995

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
163W00000X
Registered Nurse
164X00000X
Licensed Vocational Nurse
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
171R00000X
Interpreter
172V00000X
Community Health Worker
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
343900000X
Non-emergency Medical Transport (VAN)
373H00000X
Day Training/Habilitation Specialist
385H00000X
Respite Care

Other

Enumeration date
02/28/2025
Last updated
02/28/2025
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