Clark, Ardria
Clark, Ardria is an sole proprietor health care provider with primary practice located at 305 Hayden Way , Thomasville GA 31792-0316. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Ardria can be contacted via phone (229) 403-7047.Contact Information
Primary practice address
305 Hayden Way
Thomasville GA 31792-0316
Phone: (229) 403-7047
Fax: (229) 236-1869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007361 | Georgia |
Profile Details
| NPI number | 1518350743 |
|---|---|
| LBN Legal business name | Clark, Ardria |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2015 |
| Last updated | Dec 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518350743 | NPPES |
| Georgia | MEDICAID | 1518350743 |
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