Clark, Courtney A
Clark, Courtney A is an sole proprietor health care provider with primary practice located at 110 Pearson , Benton AR 72015-4436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Clark, Courtney A can be contacted via phone (501) 315-4224.Contact Information
Primary practice address
110 Pearson
Benton AR 72015-4436
Phone: (501) 315-4224
Fax: (501) 778-0450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P2309005 | Arkansas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A2002030 | Arkansas |
Profile Details
| NPI number | 1518590660 |
|---|---|
| LBN Legal business name | Clark, Courtney A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2020 |
| Last updated | Oct 23rd, 2024 - about 2 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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