MELISSA HENRY-MACK (NPI# 1457658767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457658767 |
| Entity Type | Individual |
| Full Name | MELISSA HENRY-MACK |
| Practice Address |
6210 Dollarway Rd Ste 4 Pine Bluff AR 71602-3733 |
| Practice Telephone | 8702473588 |
| Practice Fax Number | 8702472072 |
| Mailing Telephone | 8702473588 |
| Mailing Fax Number | 8702472072 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A1101001 | AR | Behavioral Health & Social Service Providers |
| Street Address |
6210 DOLLARWAY RD STE 4 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71602-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595995 | Eddie B Carr | Social Worker | 6210 Dollarway Rd, Suite4, Pine Bluff, AR 71602-3733 | 2006-08-15 |
| 1538598883 | Sabrina Hampton | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2013-11-07 |
| 1093089708 | Katherine Reynolds | Social Worker | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2012-02-27 |
| 1285907675 | Timmie Moore | Case Manager/Care Coordinator | 6210 Dollarway Rd, Suite #4, Pine Bluff, AR 71602-3733 | 2012-02-15 |
| 1144508532 | John Ridgle | Case Manager/Care Coordinator | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2011-08-02 |
| 1417247016 | Patricia A Davis | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2011-04-15 |
| 1306015110 | Kasi B. Townes | Social Worker | 6210 Dollarway Rd, Ste 4, Pine Bluff, AR 71602-3733 | 2008-02-26 |
| 1699845818 | Uhs of Benton, Inc. | Clinic/Center | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2006-11-08 |
| 1518970730 | Chancey Jamaal Dale | Counselor | 6210 Dollarway Rd, Suite 4, Pine Bluff, AR 71602-3733 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361824 | Latecia Denay Barnes | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-11-18 |
| 1417430596 | Alicia Hill | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-09-13 |
| 1851890248 | Porsha Mcdonald | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-02-12 |
| 1578929626 | Kenneth Carswell, LLC | Counselor | 6120 Whiteaker Rd, Pine Bluff, AR 71603-8076 | 2016-01-05 |
| 1366824955 | Briana Harrison | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-06-19 |
| 1104227586 | Dorcas Hope Vangilst | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2014-09-04 |
| 1326469321 | India Ledbetter | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2013-12-18 |
| 1639300064 | Patsy Pace | Counselor | 1116 S State St, Pine Bluff, AR 71601-5851 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
| 1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
| 1184236408 | Heather Rogero | Counselor | 990 Northpointe Dr, Mountain Home, AR 72653-8126 | 2020-08-18 |
| 1538779764 | Overcoming: A Private Therapy Practice, LLC | Counselor | 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 | 2020-08-03 |
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1841810231 | Prosperity Hands Ministry | Counselor | 710 Sw Sterling Pl, Bentonville, AR 72712-7773 | 2020-04-26 |
| 1144860321 | Erica Ashton Sturgeon | Counselor | 411 W Poplar St, Rogers, AR 72756-4560 | 2020-01-15 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71602 |
Please comment or provide details below to improve the information on MELISSA HENRY-MACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.