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KRISTIE CLARK PLLC NPI 1558090969


NPI Information

NPI: 1558090969
Provider Name: KRISTIE CLARK, PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5090 STATE ST STE B102
SAGINAW, MI
ZIP 48603
Phone: (989) 430-6553
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KRISTIE CLARK, PLLC is a community behavioral health in Saginaw, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KRISTIE CLARK, PLLC NPI is 1558090969. The provider is registered as an organization entity type.

The provider's business location address is:

5090 STATE ST STE B102
SAGINAW, MI
ZIP 48603-778
Phone: (989) 430-6553
Fax: (989) 355-0438

The provider's authorized official is Kristie Clark .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (989) 430-6553.

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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

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.