MIRANDA PAIGE CLARK NPI 1194598177

NPI Information

  • NPI: 1194598177
  • Provider Name: MIRANDA PAIGE CLARK
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 6066 CEDAR HILL LN
    FLORENCE, KY
    ZIP 41042
  • Phone: (513) 257-9064

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NPI Details

Miranda Paige Clark is an addiction (substance use disorder) counselor in Florence, KY. Miranda Paige Clark NPI is 1194598177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6066 CEDAR HILL LN
FLORENCE, KY
ZIP 41042-046
Phone: (513) 257-9064

The enumeration date for this NPI number is 11/1/2023 and was last updated on 11/1/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)274268KENTUCKYYes

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: 11/21/2025

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