MRS. SANDRA DENICE CLARK ED.S NPI 1205142106

NPI Information

NPI: 1205142106
Provider Name: MRS. SANDRA DENICE CLARK, ED.S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
5701 N HILLS ST
MERIDIAN, MS
ZIP 39307
Phone: (601) 581-7562
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MRS. Sandra Denice Clark, ED.S is a professional counselor in Meridian, MS. MRS. Sandra Denice Clark, ED.S NPI is 1205142106. 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:

5701 N HILLS ST
MERIDIAN, MS
ZIP 39307-903
Phone: (601) 581-7562
Fax: (601) 581-7676

The NPI 1205142106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/31/2010.

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	101Y00000X	Counselor		0804	MISSISSIPPI	No
2	101YM0800X	Counselor	Mental Health	LH0061	MISSISSIPPI	No
3	101YS0200X	Counselor	School	168226	MISSISSIPPI	No
4	101YP2500X	Counselor	Professional	0804	MISSISSIPPI	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: 4/28/2024

NPI Synchronization or Removal

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