LAUREN CLARKE (NPI# 1629359708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629359708 |
Entity Type | Individual |
Full Name | LAUREN CLARKE |
Credential | LPC |
Practice Address |
2200 N Patterson St Valdosta GA 31602-2597 |
Practice Telephone | 2292441707 |
Practice Fax Number | 2292441779 |
Mailing Telephone | 2292441707 |
Mailing Fax Number | 2292441779 |
Enumeration Date | 2011-09-02 |
Last Update Date | 2012-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006515 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962060822 | Lauren Wilson Clarke | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-06-04 |
Street Address |
2200 N PATTERSON ST |
City | VALDOSTA |
State | GA |
Zip Code | 31602-2597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225163884 | Sara E. Riley | Counselor | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2007-02-23 |
1508309030 | Marshall Curtis Harper | Counselor | 2200 N Patterson St, Suite D, Valdosta, GA 31602-2597 | 2016-12-01 |
1659814333 | Raven Boyd | Registered Nurse | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2016-11-29 |
1639611643 | Kelly Broyles | Marriage & Family Therapist | 2200 N Patterson St, Suite D, Valdosta, GA 31602-2597 | 2016-11-08 |
1972737468 | Sandra Gale Wilcher | Social Worker | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2009-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
Find all providers in zip 31602 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356976138 | Serenity Counseling Services, LLC | Counselor | 3946 Warwick Dr, Valdosta, GA 31605-6109 | 2020-03-11 |
1760921415 | Chiquita Bryant | Counselor | 3120 N. Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2017-02-14 |
1164969820 | Kyla Ward | Counselor | 3116 N Oak Street Ext, Valdosta, GA 31602-1007 | 2017-01-19 |
1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
1184045767 | Chase Jackson Godwin | Counselor | 3903 Trotters Ridge Cir, Valdosta, GA 31605-4894 | 2013-12-26 |
1770826059 | Carole Nelson Lpc, PC | Counselor | 3350 Noble Way Ste B, Valdosta, GA 31605-7410 | 2013-04-04 |
1881977254 | Bina Gobler | Counselor | 2201 N Patterson St, Valdosta, GA 31602-2508 | 2011-09-22 |
1669755989 | Jacinta Y. Harvey | Counselor | 2200 N Patterson St Ste D, Valdosta, GA 31602-2573 | 2011-09-22 |
1154603470 | Better Mood Clinic S Ga LLC | Counselor | 2935 N Ashley St Bldg F, Valdosta, GA 31602-1777 | 2011-09-13 |
1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
Find all providers in VALDOSTA |
Please comment or provide details below to improve the information on LAUREN CLARKE.
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.