BRIAN MARK CLEMMONS L.P.C. NPI 1134184518

NPI Information

NPI: 1134184518
Provider Name: BRIAN MARK CLEMMONS, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER, VA
ZIP 23061
Phone: (804) 693-5068
Get Directions

Brian Mark Clemmons, L.P.C. is a professional counselor in Gloucester, VA. Brian Mark Clemmons, L.P.C. NPI is 1134184518. 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:

9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER, VA
ZIP 23061-162
Phone: (804) 693-5068
Fax: (804) 693-7407

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/9/2007.

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	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701003128	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105735	OTHER	VIRGINIA	HEALTHKEEPERS
2	O83784	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	SENTARA
3	O83784	MEDICAID	VIRGINIA
4	105735	OTHER	VIRGINIA	ANTHEM
5	O83784	OTHER	VIRGINIA	SOUTHERN HEALTH
6	105735	MEDICAID	VIRGINIA

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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