COURTNEY A CLARK (NPI# 1518590660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518590660 |
Entity Type | Individual |
Full Name | COURTNEY A CLARK |
Credential | LAC |
Practice Address |
12921 Cantrell Rd Ste 105 Little Rock AR 72223-1798 |
Practice Telephone | 5018915492 |
Practice Fax Number | 5017472149 |
Mailing Telephone | 5018915492 |
Mailing Fax Number | 5017472149 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
A2002030 | AR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056681 | Courtney Denise Clark | Counselor | 502 Mockingbird Dr, Crossville, TN 38555-5836 | 2020-09-03 |
1558722082 | Courtney Clark | Behavioral Analyst | 2541 White Mountain Hwy, Unit 5, North Conway, NH 03860-5125 | 2016-03-10 |
1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
1720615008 | Courtney Clark | Physical Medicine & Rehabilitation | 3574 Center Rd, Brunswick, OH 44212-3618 | 2020-03-25 |
1174170237 | Courtney Clark | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-23 |
1457906588 | Courtney Lynn Clark | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-08-06 |
1801351341 | Courtney Clark | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2019-02-08 |
1275002164 | Courtney Marie Clark | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2018-11-20 |
1740787027 | Courtney N Clark | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-04-12 |
1477079085 | Courtney Meadows Clark | Physician Assistant | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2017-08-15 |
Street Address |
12921 CANTRELL RD STE 105 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72223-1798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538589205 | Kamiron Tran | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2014-04-22 |
1194217703 | Pediatrics Plus Counseling & Diagnostics | Psychiatry & Neurology | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2018-05-31 |
1104336981 | Hannah Hart | Social Worker | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2017-10-05 |
1760900419 | Cassie Lynn Rosenbaum | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2017-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
Find all providers in zip 72223 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
1003443953 | David Laser Jr. | Counselor | 3700 W 65th St, Little Rock, AR 72209-8552 | 2020-03-23 |
1992331508 | Seth Thomas Gilleran | Counselor | 14710 Cantrell Rd Ste 7a, Little Rock, AR 72223-4253 | 2020-03-14 |
1568004240 | Cheyenne Parker | Counselor | 20400 Col Glenn Road Youth Home, Inc., Little Rock, AR 72210-5323 | 2019-10-14 |
1104473198 | Carrie Teresa Calhoon | Counselor | 1100 N University Ave Ste 137, Little Rock, AR 72207-6344 | 2019-08-23 |
1730668864 | Raysha Clark | Counselor | 10515 W Markham St Ste K4, Little Rock, AR 72205-2287 | 2018-08-09 |
1003306804 | Chris Beasley | Counselor | 9819 Margie Cir, Little Rock, AR 72209-6521 | 2018-05-16 |
1841787090 | Martin Counseling Services, LLC | Counselor | 1100 N University Ave Ste 210, Little Rock, AR 72207-6359 | 2018-04-13 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72223 |
Please comment or provide details below to improve the information on COURTNEY A 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.