Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Irwin Lackmann, LADACI, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689449803

Mark Irwin Lackmann, LADACI, CADCI is an Addiction (Substance Use Disorder) Counselor in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

661 Madison Ave
Memphis, TN 38103-3307
Phone: (901) 267-4008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LDC0000001357 (TN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence TN-006 (TN)

Record details

NPI number1689449803
Entity typeIndividual (Type 1)
GenderMale
Credentials LADACI , CADCI
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

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