CLARK CHRISTIAN COUNSELING, PLLC (NPI# 1346869534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346869534 |
| Entity Type | Organization |
| Organization Name | CLARK CHRISTIAN COUNSELING, PLLC |
| Practice Address |
320 N Judd Pkwy Ne Ste 200 Fuquay Varina NC 27526-2624 |
| Mailing Address |
1305 Appius Ct Fuquay Varina NC 27526-7008 |
| Practice Telephone | 9198127535 |
| Mailing Telephone | 9198127535 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | LANCE CLARK (OWNER) |
| Authorized Official Telephone | 9198127535 |
| Authorized Official Credential | MA, LCMHC, BCTMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 547 Keisler Dr Ste 201, Cary, NC 275189309 | 9198127535 |
| Street Address |
320 N JUDD PKWY NE STE 200 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1992133508 | Erin Sperico | Counselor | 165 Jared Dr, Fuquay Varina, NC 27526-8757 | 2013-10-16 |
| 1710323357 | Anne Cooke Miller | Counselor | 602 E Academy St Ste 105, Fuquay Varina, NC 27526-2382 | 2013-05-21 |
| 1497031900 | Timothy Felipe Rainey | Counselor | 1320 Balfour Downs Cir, Fuquay Varina, NC 27526-7763 | 2011-10-27 |
| 1619258258 | Jeanne Marie Guilbault | Counselor | 114 Pine St, Fuquay Varina, NC 27526-2424 | 2011-09-08 |
| 1790005379 | Regina Gould | Counselor | 2515 Hidden Meadow Dr, Fuquay Varina, NC 27526-9434 | 2010-06-07 |
| 1972825867 | Providence Counseling Services | Counselor | 1401 Ravensthorpe Dr, Fuquay Varina, NC 27526-7714 | 2010-02-19 |
| 1336279553 | Robert Lee King | Counselor | 209 S Fuquay Ave, Fuquay Varina, NC 27526-2254 | 2007-03-06 |
| 1689606444 | Renee E Holmes | Counselor | 206 Raleigh St, Fuquay Varina, NC 27526-2263 | 2006-07-06 |
| 1104892827 | Melissa Register Meyers | Counselor | 320 N Judd Pkwy Ne, Suite 200, Fuquay Varina, NC 27526-2624 | 2006-02-23 |
| Find all providers in FUQUAY VARINA | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
Please comment or provide details below to improve the information on CLARK CHRISTIAN COUNSELING, PLLC.
| 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.