DEMETRICE CLARK


Address: 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913
Phone: 2252531277

DEMETRICE CLARK (NPI# 1528430550) 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) 1528430550
Entity Type Individual
Full Name DEMETRICE CLARK
Practice Address 8946 Interline Ave Ste A
Baton Rouge
LA 70809-1913
Practice Telephone 2252531277
Mailing Telephone 2252531277
Enumeration Date 2015-10-29
Last Update Date 2015-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers DEMETRICE CLARK

NPI Name Taxonomy Address Enumeration
1992750616 Demetrice Clark Optometrist 2216 E Nc Highway 54, Durham, NC 27713-2208 2006-05-23

Office Location

Street Address 8946 INTERLINE AVE STE A
City BATON ROUGE
State LA
Zip Code 70809-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740652031 Melinda Desiree Holmes Counselor 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2015-10-26
1912565912 Ateisha Cage Case Manager/Care Coordinator 8946 Interline Ave Ste A, Baton Rouge, LA 70809 2019-06-04
1518422369 Brittany Casalle Geralds Case Manager/Care Coordinator 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2019-02-06
1922563105 Jacinta T Murray Case Manager/Care Coordinator 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2019-02-01
1063981470 Chiquita K Rome Counselor 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2018-11-14
1184102030 Hansoni Holland Counselor 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2018-08-02
1285125518 Glenda Marilyn Williams Case Manager/Care Coordinator 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2018-05-22
1598294746 Anthony Martin Clark II Counselor 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2017-06-09
1578008538 Avis Johnson Assistant Behavior Analyst 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 2016-12-30
1558806836 Rokeya Jonae Morris Counselor 8946 Interline Ave Ste A, Baton Rouge, LA 70809 2016-12-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619582640 Lisha Kerr Jacobsen Counselor 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 2020-09-15
1790301596 Louisiana Regenerative Medicine Center Clinic/Center 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 2020-06-18
1093337305 Sew Luxe Customs, LLC Prosthetic/Orthotic Supplier 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 2020-05-08
1366903908 Tamika Wyna Piper Counselor 11445 Reiger Road, Baton Rouge, LA 70809 2019-03-27
1548734213 Urg-hab Surgical Specialists Pain Medicine 8558 Jefferson Hwy, Baton Rouge, LA 70809 2019-01-16
1205306610 Monique West Case Manager/Care Coordinator 9441 Common Street, Suite B, Baton Rouge, LA 70809 2018-11-28
1679061618 Sara Elizabeth Nicole Altaean Massage Therapist Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-04-25
1871098921 Gary Bernard Jr. Massage Therapist 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-03-29
1619476355 De'andria Banks Behavior Technician 9150 Bareford Drive, Baton Rouge, LA 70809 2018-02-08
1427561679 Angiogenesis Medical LLC Durable Medical Equipment & Medical Supplies 8032 Summa Ave Ste D, Baton Rouge, LA 70809 2017-11-09
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578160024 Benjamin Ng Counselor 8758 Field Dr, Baton Rouge, LA 70809-2903 2020-10-07
1619582640 Lisha Kerr Jacobsen Counselor 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 2020-09-15
1578181814 Angela Nicole Vaughn Counselor 7464 Board Dr, Baton Rouge, LA 70817-5311 2020-07-13
1487270393 Joanna Sheppard Counselor 331 Grandpre St, Baton Rouge, LA 70802-5919 2020-06-17
1417579012 Cl's Counseling and Consulting Firm, LLC Counselor 13969 Windwood Dr, Baton Rouge, LA 70816-1887 2020-05-18
1043830938 Andrea Frank Counselor 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 2020-04-21
1881214666 Shetamian Wilson Counselor 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 2020-04-21
1679108740 Gracefully Purposed Counseling & Consulting, LLC Counselor 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 2020-03-09
1588227623 Melanie E Salles Counselor 2718 Toulon Dr, Baton Rouge, LA 70816-5120 2019-04-15
1275091514 A T.r.u.t.h. 180 Health Services of Louisiana, LLC Counselor 1254 Central Rd, Baton Rouge, LA 70807-3820 2019-03-06
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70809

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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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