Clark, Samuel P.

Clark, Samuel P. is an sole proprietor health care provider with primary practice located at 1218 Nw 6Th Street , Gainesville FL 32601. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Clark, Samuel P. can be contacted via phone (352) 244-0628.

Contact Information

Primary practice address
1218 Nw 6Th Street Gainesville FL 32601
Phone: (352) 244-0628
Fax: (352) 334-3817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH820 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH820 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH820 Florida

Profile Details

NPI number 1265742001
LBN Legal business name Clark, Samuel P.
Credentials LMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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