Clark, Colleen

Clark, Colleen is an sole proprietor health care provider with primary practice located at 600 1St Ave N Ste 306 , St Petersburg FL 33701-3609. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Colleen can be contacted via phone (727) 283-4184.

Contact Information

Primary practice address
600 1St Ave N Ste 306 St Petersburg FL 33701-3609
Phone: (727) 283-4184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15359 Florida

Profile Details

NPI number 1467936799
LBN Legal business name Clark, Colleen
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2018
Last updated Oct 25th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467936799 NPPES
Other O NONE

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