Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANEISHA MACK, CPS-WH
Active Sole ProprietorKANEISHA MACK, CPS-WH is a Peer Specialist healthcare provider located in LAGRANGE, Georgia. NPI 1952862286 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LAGRANGE, GA
Registration Details
- NPI Number
- 1952862286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2019 (7.3867902181042 yrs)
- Last Updated
- Mar 28, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 GORDON COMMERCIAL DRLAGRANGE, GA, 302405754Browse GA providers · Browse ZIP 30240
- Phone
- 7068454054
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. MEREDITH K BOWMAN | PP, BA | 1659935963 |
| JESSIKA E REID | — | 1316511546 |
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.