MISS KELLY CLARK NPI 1942605852

NPI Information

  • NPI: 1942605852
  • Provider Name: MISS KELLY CLARK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2301 E CHAMBERS DR
    BOONEVILLE, MS
    ZIP 38829
  • Phone: (662) 728-3154

Map and Directions

Get Directions

NPI Details

MISS Kelly Clark is a mental health counselor in Booneville, MS. MISS Kelly Clark NPI is 1942605852. 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:

2301 E CHAMBERS DR
BOONEVILLE, MS
ZIP 38829-903
Phone: (662) 728-3154

The enumeration date for this NPI number is 11/4/2014 and was last updated on 11/4/2014.

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 HealthBS DEGREEMISSISSIPPIYes

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

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.