IndividualActive
Kaneisha Mack, CPS-WH
NPI 1952862286 · Peer Specialist · Lagrange, GA
Provider details
- NPI number
- 1952862286
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CPS-WH
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
122 Gordon Commercial Dr
Lagrange, GA 30240-5754
Phone: (706) 845-4054
Approximate (ZIP-level) locationGet directions
Mailing address
122 Gordon Commercial Dr
Lagrange, GA 30240-5754
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.