MRS. ERICA LEE CLARK (NPI# 1598081143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081143 |
| Entity Type | Individual |
| Full Name | MRS. ERICA LEE CLARK |
| Practice Address |
425 W 3rd St Powell WY 82435-2304 |
| Practice Telephone | 3072022514 |
| Mailing Telephone | 3072022514 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578051280 | Erica La'shay Clark | Home Health | 100 E 216th St, Euclid, OH 44123-1155 | 2018-04-27 |
| 1730546656 | Erica Clark | Counselor | 2209 Roosevelt Ave, Shreveport, LA 71104-2773 | 2016-01-22 |
| 1154944890 | Erica Clark | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-05-28 |
| 1639715329 | Erica Clark | Technician | 4955 S Durango Dr Ste 120, Las Vegas, NV 89113-1054 | 2019-11-18 |
| 1184277881 | Erica Clark | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-22 |
| 1265909311 | Erica Clark | Licensed Vocational Nurse | 24969 Mulholland Hwy, Calabasas, CA 91302-2366 | 2018-10-26 |
| 1023510708 | Erica Clark | Nurse Practitioner | 7991 S Suncoast Blvd, Homosassa, FL 34446-5005 | 2018-03-08 |
| 1174033443 | Erica Lynn Clark | Behavior Technician | 308 Gratiot Ave, Alma, MI 48801-1809 | 2017-10-02 |
| 1154730174 | Erica J. Clark | Psychologist | 200 S Hoover Blvd, Suite #165, Tampa, FL 33609-3540 | 2014-08-04 |
| 1255635389 | Erica Rousseau Clark | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2011-01-04 |
| Street Address |
425 W 3RD ST |
| City | POWELL |
| State | WY |
| Zip Code | 82435-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023561446 | Callie C Kidd | Day Training, Developmentally Disabled Services | 924 Lane 11, Powell, WY 82435-9212 | 2016-08-02 |
| 1871960039 | Ursula Lawson | Day Training, Developmentally Disabled Services | 1997 Lane 9, Powell, WY 82435-9546 | 2015-08-24 |
| 1326325028 | Whitney Danielle Marsh | Day Training, Developmentally Disabled Services | 1128 Barrows Rd, Powell, WY 82435-9354 | 2011-11-08 |
| 1417282690 | Frances Elizabeth Duncan | Day Training, Developmentally Disabled Services | 980 Lane 13h, Powell, WY 82435-8888 | 2009-10-06 |
| 1477706513 | Tender Touch Supported Living, Inc. | Day Training, Developmentally Disabled Services | 3585 Hyatts Rd, Powell, OH 43065-9725 | 2008-11-03 |
| 1811392624 | Amanda Rodriguez | Day Training, Developmentally Disabled Services | 1201 E 7th St, Powell, WY 82435-2126 | 2014-10-23 |
| 1295172641 | Angel Foster | Day Training, Developmentally Disabled Services | 1201 E 7th St, Powell, WY 82435-2126 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524628 | Mac Patrik Reynolds | Day Training, Developmentally Disabled Services | 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054 | 2020-09-28 |
| 1780201483 | Richard Doug Bebout | Day Training, Developmentally Disabled Services | 535 Pioneer Ave, Riverton, WY 82501-3248 | 2020-06-29 |
| 1376169128 | Jodi Thornhill | Day Training, Developmentally Disabled Services | 900 Camel Dr. Ste. Gg, Pmb #154, Gillette, WY 82716-4974 | 2020-06-17 |
| 1235751389 | B.a.c.a. Case Managment LLC | Day Training, Developmentally Disabled Services | 6500 Longabaugh Way, Cheyenne, WY 82009-9699 | 2020-05-12 |
| 1861012866 | Aunkia Fowler and Associates LLC | Day Training, Developmentally Disabled Services | 8101 Shady Lane, Evansville, WY 82636 | 2020-04-20 |
| 1194356782 | Rebekah Vondenkamp | Day Training, Developmentally Disabled Services | 832 Walnut St, Rock Springs, WY 82901-7104 | 2020-01-31 |
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1366910770 | Haley D Gray | Day Training, Developmentally Disabled Services | 3800 Overdale Dr, Gillette, WY 82718-7633 | 2018-11-05 |
| 1578043006 | Elaina Elizabeth Oliver | Day Training, Developmentally Disabled Services | 3832 Andersen Ln, Wilson, WY 83014-9194 | 2018-08-15 |
| 1073009403 | Christopher Aaron Grooms | Day Training, Developmentally Disabled Services | 1745 E 22nd St, Cheyenne, WY 82001-4138 | 2018-07-09 |
| Find all providers with the same taxonomy | ||||
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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.