Clark & Clark Counseling Center, Llc

LBN: Clark & Clark Counseling Center, Llc
Clark & Clark Counseling Center, Llc is an health care organization with primary practice located at 10 Wilson Rd Suite 9, Stockbridge GA 30281-4468. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Clark & Clark Counseling Center, Llc can be contacted via phone (678) 438-4225, or through Clark, Susan M via phone (678) 438-4225.

Contact Information

Primary practice address
10 Wilson Rd Suite 9 Stockbridge GA 30281-4468
Phone: (678) 438-4225
Fax: (678) 272-6295
Website:
Map and Directions
Authorized official contact:
Name: Clark, Susan M Licensed Professional Counselor (LPC)
Phone: (678) 438-4225

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LPC005485 Georgia

Profile Details

NPI number 1972853638
LBN Legal business name Clark & Clark Counseling Center, Llc
DBA Doing business as
Authorized official Clark, Susan M Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2012
Last updated Sep 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972853638 NPPES
Georgia MEDICAID 143387363A

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