EDWARD CLARK LPC. CCADC NPI 1043570732

NPI Information

NPI: 1043570732
Provider Name: EDWARD CLARK, LPC., CCADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4015 NINE MCFARLAND DR
SUITE #175
ALPHARETTA, GA
ZIP 30004
Phone: (678) 982-9039
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Edward Clark, LPC., CCADC is a professional counselor in Alpharetta, GA. Edward Clark, LPC., CCADC NPI is 1043570732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4015 NINE MCFARLAND DR
SUITE #175
ALPHARETTA, GA
ZIP 30004-493
Phone: (678) 982-9039
Fax: (470) 235-8705

The enumeration date for this NPI number is 5/29/2012 and was last updated on 8/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	102L00000X	Psychoanalyst		No
3	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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