Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871913087 Individual Practitioner Female Practitioner

Audrey Mack

Counselor - Professional • Martinez, GA

Professional Overview & Biography Verified Profile Summary

Audrey Mack is a registered healthcare professional specializing in Counselor - Professional in Martinez, GA. Practice services are available at 3711 EXECUTIVE CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3711 Executive Center Dr
Suite 202 Office #3

Martinez, GA 309070951

Telephone 7063944357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Martinez, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Martinez, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006746

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Licensed Clinical Social Worker, Licensed Master Social Worker, LISWCP

Dr. Amy Holsten , PhD

Psychologist - Clinical Child & Adolescent

NPI 1053665356

Doctor of Philosophy (Ph.D.)

NPI 1144692286

Licensed Master Social Worker

Lolita Wiggs , MS, LPC

Counselor - Professional

NPI 1508110800

Master of Science, Licensed Professional Counselor

Dr. Dara Delancy , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1821289877

Doctor of Psychology (Psy.D.)

NPI 1902982630

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2014

Registered at 3711 EXECUTIVE CENTER DR, SUITE 202 OFFICE #3, MARTINEZ, GA 309070951 (Tel: 7063944357)

📍
Updated Business Mailing Address April 27, 2014

Registered at 3490 BULLOCK AVE, AUGUSTA, GA 309064615 (Tel: 7063944357)

👤
Provider Name / Credentials Updated April 27, 2014

Recorded as AUDREY MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2014

Counselor (License #LPC006746 in GA)

🟢
Initial NPI Registration & Enumeration April 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871913087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2014
Last Update: April 27, 2014
Sole Proprietor: No

Mailing Address

3490 Bullock Ave

Augusta, GA 309064615

Phone: 7063944357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.