BRANDY A CLARK NPI 1427628197

NPI Information

NPI: 1427628197
Provider Name: BRANDY A CLARK
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
498 NW 18TH ST STE C
RICHMOND, IN
ZIP 47374
Phone: (765) 373-8704
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Brandy A Clark is an addiction (substance use disorder) counselor in Richmond, IN. Brandy A Clark NPI is 1427628197. 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:

498 NW 18TH ST STE C
RICHMOND, IN
ZIP 47374-851
Phone: (765) 373-8704
Fax: (765) 488-2609

The enumeration date for this NPI number is 6/25/2021 and was last updated on 10/26/2022.

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				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87900068A	INDIANA	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: 5/5/2024

NPI Synchronization or Removal

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