Clark, Shanavier

Clark, Shanavier is an sole proprietor health care provider with primary practice located at 15024 Martin Luther King Jr Blvd , Gulfport MS 39501-8306. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Shanavier can be contacted via phone (228) 864-0003.

Contact Information

Primary practice address
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306
Phone: (228) 864-0003
Fax: (228) 863-7917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X C11808 Mississippi

Profile Details

NPI number 1477044071
LBN Legal business name Clark, Shanavier
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2018
Last updated Nov 24th, 2025 - about last year

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.

Request for update

Popular Providers