Latasha Mckenzie Mack, - Psychologist in Atlanta, GA

Latasha Mckenzie Mack, is a Psychologist - Clinical based in Atlanta, Georgia. Latasha Mckenzie Mack is licensed to practice in Georgia (license number PSY002889) and her current practice location is 1050 Crown Pointe Pkwy, Suite 295, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (866) 325-5434.

NPI number for Latasha Mckenzie Mack is 1285773002 and her current mailing address is 496 Laurelton Cir, Lawrenceville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285773002.

Contact Information

Latasha Mckenzie Mack,
1050 Crown Pointe Pkwy, Suite 295,
Atlanta, GA 30338-7707
(866) 325-5434
(866) 325-5340

Map and Direction




Healthcare Provider's Profile

Full NameLatasha Mckenzie Mack
GenderFemale
SpecialityPsychologist - Clinical
Location1050 Crown Pointe Pkwy, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285773002
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Latasha Mckenzie Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285773002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY002889 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latasha Mckenzie Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latasha Mckenzie Mack,
496 Laurelton Cir,
Lawrenceville, GA 30044-7741

Ph: (866) 325-5434
Latasha Mckenzie Mack,
1050 Crown Pointe Pkwy, Suite 295,
Atlanta, GA 30338-7707

Ph: (866) 325-5434

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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