KAYLA CLARK LPC NPI 1730605320

NPI Information

  • NPI: 1730605320
  • Provider Name: KAYLA CLARK, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 106 E 5TH AVE
    ROME, GA
    ZIP 30161
  • Phone: (706) 509-0130

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NPI Details

Kayla Clark, LPC is a mental health counselor in Rome, GA. Kayla Clark, LPC NPI is 1730605320. 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:

106 E 5TH AVE
ROME, GA
ZIP 30161-128
Phone: (706) 509-0130
Fax: (706) 237-6503

The enumeration date for this NPI number is 8/16/2017 and was last updated on 3/15/2022.

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
1101Y00000XCounselorAPC007128GEORGIANo
2101YM0800XCounselorMental HealthLPC012786GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LPC012786OTHERGEORGIALICENSURE

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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