ALEXSAUNDRA CLARK NPI 1821864802

NPI Information

  • NPI: 1821864802
  • Provider Name: ALEXSAUNDRA CLARK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 882 OAKMAN BLVD
    DETROIT, MI
    ZIP 48238
  • Phone: (313) 883-7246

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NPI Details

Alexsaundra Clark is a mental health counselor in Detroit, MI. Alexsaundra Clark NPI is 1821864802. 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:

882 OAKMAN BLVD
DETROIT, MI
ZIP 48238-710
Phone: (313) 883-7246

The NPI 1821864802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/14/2024.

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
1101YM0800XCounselorMental Health6451023452MICHIGANYes

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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