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CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES NPI 1063054310


NPI Information

NPI: 1063054310
Provider Name: CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES

Other Name: PSYCHOLOGIST OFFICE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
710 OAKFIELD DR
BRANDON, FL
ZIP 33511
Phone: (813) 445-8575
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CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES is a mental health (including community mental health center) clinic center in Brandon, FL. CLARKE COUNSELING AND PSYCHOLOGICAL SERVICES NPI is 1063054310. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Psychologist Office.

The provider's business location address is:

710 OAKFIELD DR
BRANDON, FL
ZIP 33511-938
Phone: (813) 445-8575
Fax: (813) 649-8085

The provider's authorized official is Nickeisha K Clarke .
The authorized official title is Provider and has the following contact phone number (813) 445-8575.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 11/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245710904OTHERFLORIDANPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.