HENRY WILLIAM CLARK (NPI# 1235669037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235669037 |
| Entity Type | Individual |
| Full Name | HENRY WILLIAM CLARK |
| Credential | M.A., LPC |
| Practice Address |
409 Vandiver West Bldg 6, Suite 102a Great Circle Columbia MO 65202 |
| Mailing Address |
1709 Oakwood Ct Columbia MO 65203-1704 |
| Practice Telephone | 5734428331 |
| Mailing Telephone | 5738644600 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 002440 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790898450 | Henry Vondell Clark | Family Medicine | 150 Fairview Road, Ste 230, Mooreseville, NC 28117 | 2006-08-16 |
| 1467060905 | Henry Clark IIi | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-21 |
| 1982253696 | Henry Larry Clark | Chore Provider | 550 W Pioneer Blvd Ste 204, Mesquite, NV 89027-1406 | 2019-09-05 |
| Street Address |
409 VANDIVER WEST BLDG 6, SUITE 102A GREAT CIRCLE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| 1467885053 | Laura Louise Cohen | Counselor | 19 E, Wanut St, Columbia, MO 65202 | 2013-08-19 |
| Find all providers in zip 65202 | ||||
| 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 |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1407491830 | Mariah Keathley | Counselor | 201 W Broadway Ste 2f, Columbia, MO 65203-3842 | 2019-11-08 |
| 1962058719 | Lindsey Howard | Counselor | 610 Poplar St, Columbia, PA 17512-2101 | 2019-08-16 |
| 1174085138 | Debra A Parker | Counselor | 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 | 2019-04-01 |
| 1881152817 | Change Your Reality | Counselor | 729 True St Apt 3, Columbia, SC 29209-1659 | 2019-03-08 |
| 1104393487 | Makida Bey | Counselor | 9850 Softwater Way, Columbia, MD 21046-1887 | 2018-10-25 |
| 1942788542 | Holistic Health Advancements, LLC | Counselor | 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 | 2018-08-06 |
| 1811483761 | Live.balanced.life.llc | Counselor | 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 | 2018-07-03 |
| 1053811729 | Sarah Ann Galatta | Counselor | 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 | 2018-02-19 |
| Find all providers in COLUMBIA | ||||
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| 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.