ELIZABETH SIMON-CLARK


Address: Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360
Phone: 3184415900

ELIZABETH SIMON-CLARK (NPI# 1215421995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215421995
Entity Type Individual
Full Name ELIZABETH SIMON-CLARK
Credential PLPC
Practice Address Central La State Hospital Unit 6 Meadows Lane
Pineville
LA 71360
Mailing Address 1800 Community
Clinton
MO 64735-8804
Practice Telephone 3184415900
Practice Fax Number 3184846610
Mailing Telephone 6608858131
Enumeration Date 2018-06-18
Last Update Date 2018-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PLC5839 LA Behavioral Health & Social Service Providers

Office Location

Street Address CENTRAL LA STATE HOSPITAL UNIT 6 MEADOWS LANE
City PINEVILLE
State LA
Zip Code 71360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578110789 Reneisha Armonii Roberts Pharmacist 3100 La-28, Pineville, LA 71360 2019-08-22
1396303145 Tina Marie Lawhorn Nurse Practitioner 2945 Shreveport Hwy, Pineville, LA 71360 2019-06-05
1942773213 Tioga Pharmacy LLC Pharmacy 5101 Shreveport Hwy, Pineville, LA 71360 2019-01-09
1649755497 Jessica Wooten Nurse Practitioner 292 Jerry Lofton Rd, Pineville, LA 71360 2018-09-27
1982116497 Dm Properties of Rapides, LLC Radiology 2705 Highway 28 E Ste B, Pineville, LA 71360 2017-10-25
1508384587 Marion Patrick Hazelton I Counselor Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 2017-08-30
1669902557 Jessica Williams Social Worker Unit 6 Wing A Meadow Lane, Pineville, LA 71360 2017-06-14
1104365840 Naomi Gates Social Worker 242 W Shamrock Unit 1, Pineville, LA 71360 2017-02-14
1861930224 Sharon Humphrey Counselor 5400 Service Rd B206, Pineville, LA 71360 2017-02-06
1215471180 Bayou Mental Health Services,llc Community/Behavioral Health 818 Maint St Ste A, Pineville, LA 71360 2016-12-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215550207 Louisiana Care Partners,llc Counselor 2834 Military Highway, Pineville, LA 71360-0180 2020-05-25
1023676350 Marcus Antoine Lalonde Counselor 2834 Military Hwy, Pineville, LA 71360-4337 2019-06-01
1164904017 Bradley Levi Smith Counselor 303 Hermitage Rd, Pineville, LA 71360-2623 2018-09-06
1396234811 Samia Jada Counselor 210 Laurel St, Pineville, LA 71360-4662 2018-05-10
1508384587 Marion Patrick Hazelton I Counselor Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 2017-08-30
1154790541 Trucare Transportation Counselor 124 Hickory St, Pineville, LA 71360-6735 2015-09-16
1154694461 Patricia Sheffield Harris Counselor 1150 Jr High Rd, Pineville, LA 71405-3978 2012-02-16
1437454550 Myron Bryant Counselor 2901 Highway 28 E, Suite E, Pineville, LA 71360-5773 2011-01-20
1316172927 Robert P Lewinski Counselor 705 Lakeview Dr, Pineville, NC 28134-7575 2009-05-27
1740482462 Teri-lea Coscia Fahey Counselor 12107 Autumn Winds Ln, Pineville, NC 28134-9238 2007-06-04
Find all providers in PINEVILLE

Competitor

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City PINEVILLE
Zip Code 71360

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Dataset Information

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.

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