Individual provider · Type 1 NPI
Larissa Illyn Mackert, M.ED., APC, NCC
Counselor · Evans, GA
NPI number
1841189339
Active
Practice location
622 Ponder Place Dr Ste 2
Evans, GA 30809-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | APC010419 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
Other counselor providers in Evans
About NPI 1841189339
Larissa Illyn Mackert, M.ED., APC, NCC's National Provider Identifier is 1841189339, issued on Jun 30, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Evans, GA. The record was last updated on Jun 30, 2025.