CYNTHIA YVETTE CLARK (NPI# 1447891213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447891213 |
Entity Type | Individual |
Full Name | CYNTHIA YVETTE CLARK |
Practice Address |
2900 Conner St Bldg A Detroit MI 48215-2407 |
Practice Telephone | 3133081400 |
Mailing Telephone | 3133081400 |
Enumeration Date | 2019-10-03 |
Last Update Date | 2019-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 6401017464 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164899787 | Cynthia Jill Clark | Nurse Practitioner | 2160 W Elm St, Wrightsville, GA 31096-2014 | 2015-08-31 |
1891123261 | Cynthia Clark | Specialist | 12940 Mortons Corners Rd, Springville, NY 14141-9252 | 2013-10-23 |
1982918645 | Cynthia Greidele Clark | Licensed Practical Nurse | 3549 Nordway Rd, Cleveland Heights, OH 44118-3605 | 2010-08-04 |
1295824910 | Cynthia Anne Clark | Nurse Practitioner | 16 3rd Street, Dublin, NC 28332 | 2006-10-12 |
1912913591 | Cynthia Lynn Clark | Social Worker | 727 E Mitchell St, Kendallville, IN 46755-1830 | 2006-08-01 |
1407870397 | Cynthia Clark | Occupational Therapist | 2727 Bryant St Ste 340, Denver, CO 80211-4154 | 2006-07-26 |
1942228051 | Cynthia Anne Clark | Social Worker | 131 N Ewing St Ste B, Lancaster, OH 43130-3383 | 2006-07-17 |
1487690244 | Cynthia Lynne Clark | Family Medicine | 468 Ellis St, San Francisco, CA 94102-1928 | 2006-06-21 |
1346206430 | Cynthia L Clark | Family Medicine | 825 E 8th St Ste 100, Winner, SD 57580-2634 | 2006-04-26 |
1144219767 | Cynthia Billmeyer Clark | Emergency Medicine | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2005-10-17 |
Street Address |
2900 CONNER ST BLDG A |
City | DETROIT |
State | MI |
Zip Code | 48215-2407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
1861005696 | T'asha Holmes | Social Worker | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2020-08-31 |
1194336297 | Kimberley Batts | Social Worker | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2020-08-12 |
1679184972 | Ronald Keith Thomas | Specialist | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2020-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
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 |
---|---|---|---|---|
1073143046 | Comforting Adult Services LLC | Counselor | 14559 Monica St, Detroit, MI 48238-1953 | 2020-01-18 |
1235779406 | Jacqueline Yvetter Smith Davis | Counselor | 16609 Archdale St, Detroit, MI 48235-3416 | 2020-01-15 |
1033767843 | Shawn Alecia Mccoy | Counselor | 3600 3rd St Apt 1004, Detroit, MI 48201-2337 | 2019-08-27 |
1013472745 | Shyfirska Emery | Counselor | 13700 Linnhurst St, Detroit, MI 48205-2885 | 2019-02-06 |
1871060368 | Taia Sardinas | Counselor | 7251 E Congress St Apt 307, Detroit, MI 48214-2395 | 2018-11-01 |
1639668387 | Debora Lynn Howard | Counselor | 17200 Rowe St, Detroit, MI 48205-3120 | 2018-05-08 |
1932698669 | Alexis J Terry | Counselor | 5555 Conner St Ste 2210, Detroit, MI 48213-3496 | 2018-05-08 |
1245739614 | Chavela Bryant | Counselor | 18659 Griggs St, Detroit, MI 48221-1907 | 2018-02-12 |
1962901835 | Kendra Sibert | Counselor | 5112 Beaubien St, Detroit, MI 48202-4107 | 2018-02-06 |
1649787714 | Katrina Frazier | Counselor | 19968 Hubbell St, Detroit, MI 48235-1603 | 2018-01-10 |
Find all providers in DETROIT |
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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.