Mrs. Desra Mack is a Elizabeth City, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Mrs. Desra Mack is 5415 for Professional Counselor in North Carolina. Her current practice location is 1141 N Road St, Suite L, Elizabeth City. Patients can book an appointment with her at 252-335-0803.
Mrs. Desra Mack is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mrs. Desra Mack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Desra Mack
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
1141 N Road St, Suite L, Elizabeth City, North Carolina, 27909-3354
Phone:
252-335-0803
Fax:
252-331-1796
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1588761530
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
01 Mar, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Desra Mack are as mentioned below.
License Number
Specialization
State
Status
5415
Professional Counselor
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Desra Mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6103306
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4300 Sapphire Ct Ste 110, Greenville, North Carolina
Zip:
27834-9079
Phone Number:
252-830-7540
Fax Number:
252-413-0932
Patients can reach Mrs. Desra Mack at 1141 N Road St, Suite L, Elizabeth City, North Carolina or can call to book an appointment on 252-335-0803. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.