CARILLA CLARK NPI 1538916838

NPI Information

  • NPI: 1538916838
  • Provider Name: CARILLA CLARK
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 3000 CLARCONA RD
    APOPKA, FL
    ZIP 32703
  • Phone: (863) 254-8786

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NPI Details

Carilla Clark is a peer specialist in Apopka, FL. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Carilla Clark NPI is 1538916838. 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:

3000 CLARCONA RD
APOPKA, FL
ZIP 32703-762
Phone: (863) 254-8786

The enumeration date for this NPI number is 5/3/2024 and was last updated on 5/3/2024.

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
1175T00000XPeer Specialist0100603.AFLORIDAYes

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

NPI Synchronization or Removal

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