Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHLEEN SHACK, M.S., LMFT
ActiveMRS. KATHLEEN SHACK, M.S., LMFT is a Marriage & Family Therapist healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1164567137 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1164567137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2007 (19.437545715402 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0000928 (GA)
Practice Information
- Address
-
290 CONSTITUTION BLVDSUITE DLAWRENCEVILLE, GA, 300455638Browse GA providers · Browse ZIP 30045
- Phone
- 6782200090
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MARYLEE DARR | PH D LMFT | 1093872228 |
| MRS. DIANE CHAMBERS DIERKS | MFT | 1013159151 |
| DR. PAULETTE M BETHEL | MA LMFT, LPC | 1578812442 |
| MARICEL LOPEZ-CURRENCE | — | 1205175882 |
| DR. NONAH MARIE ELLISTON | PHD PSYCHOLOGY | 1700126869 |
| DR. APRIL C. WELLS | — | 1619376472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.