MS. CHRISTINE MICHELLE CLARK (NPI# 1063963395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963395 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE MICHELLE CLARK |
| Credential | MS |
| Practice Address |
6321 Terra Rosa Cir Boynton Beach FL 33472-5144 |
| Practice Telephone | 5613741893 |
| Mailing Telephone | 5613741893 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IMH15114 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1538588900 | Christine Clark | Physical Therapist | 403 Bryant St, Stroudsburg, PA 18360-2303 | 2014-04-14 |
| 1104256734 | Christine Clark | Registered Nurse | 6 Mount Cook Ave, Farmingville, NY 11738-2023 | 2013-11-18 |
| 1144573783 | Christine A Clark | Licensed Practical Nurse | 11 Evelyn Ct, Manorville, NY 11949-2851 | 2012-10-19 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1548876097 | Christine Clark | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2020-09-21 |
| 1063046068 | Christine M Clark | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-28 |
| 1326690421 | Christine Marie Clark | Occupational Therapist | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-07-10 |
| Street Address |
6321 TERRA ROSA CIR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33472-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288985 | Boynton Beach Modern Dentistry, Pa | Dentist | 8773 Boynton Beach Blvd., Suite 520, Boynton Beach, FL 33472 | 2019-04-09 |
| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1447769740 | Jillian Lepera | Counselor | 8200 S Jog Rd Ste 101, Boynton Beach, FL 33472 | 2017-09-29 |
| 1467988253 | Susel Maria Perez Ojeda | Dentist | 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 | 2017-05-11 |
| 1770019887 | Lyn Lewis | Developmental Therapist | 8308 Waterline Dr 105, Boyton Beach, FL 33472 | 2017-05-10 |
| 1821466715 | Advanced Cancer Surgery and Digestive Health LLC | Surgery | 9868 S. State Road 7, Suite 300, Boynton Beach, FL 33472 | 2015-09-09 |
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1679981450 | Mandi Franklin | Nurse Practitioner | 9868 Fl-7 #305, Boynton Beach, FL 33472 | 2014-07-24 |
| 1962825943 | June Ladner, LLC | Homemaker | 8022 Bellafiore Way, Boynton Beach, FL 33472 | 2014-01-28 |
| 1710323910 | Eena Comprehensive Neurology & Sleep Center Inc | Psychiatry & Neurology | 9868 South State Road 7, Boyton Beach, FL 33472 | 2013-05-14 |
| Find all providers in zip 33472 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760039986 | Darnella Hankins | Counselor | 3361 S Federal Hwy Apt H, Boynton Beach, FL 33435-8827 | 2019-08-22 |
| 1437607272 | Danielle Kushner | Counselor | 8213 Alpine Ridge Rd, Boynton Beach, FL 33473-5075 | 2016-09-21 |
| 1780968933 | Abbey Haydis Knox | Counselor | 127 Sw 12th Ave, Boynton Beach, FL 33435-5935 | 2011-10-06 |
| 1871144238 | Continuum Behavioral Health Services | Counselor | 1500 Gateway Blvd Ste 220, Boynton Beach, FL 33426-7233 | 2019-09-26 |
| 1700133899 | N2vibrations | Counselor | 127 Sw 12th Ave, Boynton Beach, FL 33435-5935 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
Please comment or provide details below to improve the information on MS. CHRISTINE MICHELLE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.