Provider Demographics
NPI:1194403733
Name:NOACK, MARY MCKAY (LPC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MCKAY
Last Name:NOACK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4215 WINDSOR PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1644
Mailing Address - Country:US
Mailing Address - Phone:469-585-3957
Mailing Address - Fax:214-369-1710
Practice Address - Street 1:4300 MACARTHUR AVE STE 270
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-6629
Practice Address - Country:US
Practice Address - Phone:214-369-1155
Practice Address - Fax:214-369-1710
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX62528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional