| Destiny Lacara Mack, | |
|
3485 N Desert Dr Ste 105, East Point, GA 30344-5724 | |
| (678) 724-7033 | |
| Not Available |
| Full Name | Destiny Lacara Mack |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3485 N Desert Dr Ste 105, East Point, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043864432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | PCET004155 (Georgia) | Primary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | SLPA000396 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Lacara Mack, 11009 Southwood Dr, Hampton, GA 30228-3498 Ph: (404) 831-2098 | Destiny Lacara Mack, 3485 N Desert Dr Ste 105, East Point, GA 30344-5724 Ph: (678) 724-7033 |
Gwendolyn Izell, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2479 W Woodland Cir, East Point, GA 30344 Phone: 404-242-5877 | |
Mr. Stephon J Colbert, M.S CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3675 Marketplace Blvd # 5033, East Point, GA 30344 Phone: 770-627-7391 | |
Danielle Mcgowan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3645 Marketplace Blvd, Suite 130-635, East Point, GA 30344 Phone: 678-793-0624 Fax: 184-472-2701 | |
Lindsay Ann Ratcliffe, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1514 Cleveland Ave, East Point, GA 30344 Phone: 678-608-9601 | |
Darius Laron Thomas, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2599 Oak St, East Point, GA 30344 Phone: 225-806-1769 | |
Jemia Elaine Jones, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 Crest Ridge Dr, East Point, GA 30344 Phone: 404-275-1023 |