Mrs Kathleen Shack, MS, LMFT - Couples Therapy in Lawrenceville, GA

Mrs Kathleen Shack, MS, LMFT is a Marriage & Family Therapist based in Lawrenceville, Georgia. Mrs Kathleen Shack is licensed to practice in Georgia (license number 0000928) and her current practice location is 290 Constitution Blvd, Suite D, Lawrenceville, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 220-0090.

NPI number for Mrs Kathleen Shack is 1164567137 and her current mailing address is 5825 Millwick Dr, Alpharetta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164567137.

Contact Information

Mrs Kathleen Shack, MS, LMFT
290 Constitution Blvd, Suite D,
Lawrenceville, GA 30045-5638
(678) 220-0090
Not Available

Healthcare Provider's Profile

Full NameMrs Kathleen Shack
GenderFemale
SpecialityMarriage & Family Therapist
Location290 Constitution Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164567137
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kathleen Shack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164567137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 0000928 (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. Mrs Kathleen Shack 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
Mrs Kathleen Shack, MS, LMFT
5825 Millwick Dr,
Alpharetta, GA 30005-6732

Ph: (678) 770-2200
Mrs Kathleen Shack, MS, LMFT
290 Constitution Blvd, Suite D,
Lawrenceville, GA 30045-5638

Ph: (678) 220-0090

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› Verified 2 days ago


Marriage & Family Therapist in Lawrenceville, GA

Mrs. Addie Courington Langstaff, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5415 Sugarloaf Pkwy Ste 2208, Lawrenceville, GA 30043
Phone: 770-676-0737    
Mrs. Diane Chambers Dierks, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 400 W Crogan St, Suite D, Lawrenceville, GA 30046
Phone: 404-218-1739    Fax: 404-592-1257
Tamika Sylvia Jones, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 620 Congress Pkwy, Lawrenceville, GA 30044
Phone: 860-371-4149    
Dr. Marylee Darr, PH D LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1805 Herrington Rd Bldg 2, Lawrenceville, GA 30043
Phone: 770-403-4417    Fax: 770-962-1886
Lauren B. Metayer, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 175 Langley Dr Ste 2, Lawrenceville, GA 30046
Phone: 678-882-7924    
Nikisha Douge,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5415 Sugarloaf Pkwy Ste 1108, Lawrenceville, GA 30043
Phone: 908-266-2731    

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