Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Destinee Alize Mack, SLP-A

Individual provider Speech-Language Assistant · NPI 1851109227

Destinee Alize Mack, SLP-A is a Speech-Language Assistant in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
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Practice location Address checks out

13 Harrill Ct
Charleston, SC 29412-3727
Phone: (843) 200-9600
Fax: (843) 872-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 9095 (SC)

Record details

NPI number1851109227
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-A
Sole proprietorYes
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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