DARSHA DARLENE CLARK (NPI# 1669806840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669806840 |
| Entity Type | Individual |
| Full Name | DARSHA DARLENE CLARK |
| Credential | LPC |
| Practice Address |
8026 Mustang Ln Riverdale GA 30274-6749 |
| Practice Telephone | 7702987320 |
| Mailing Telephone | 7702987320 |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007363 | GA | Behavioral Health & Social Service Providers |
| Street Address |
8026 MUSTANG LN |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-6749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345221 | Tairon Tucker | Counselor | 305 Brookview Dr, Riverdale, GA 30274-7205 | 2020-08-04 |
| 1144864513 | Moving Towards The Future, Inc | Counselor | 13913 S State St, Riverdale, IL 60827-2019 | 2019-10-29 |
| 1205304177 | Nzinga Lawrence | Counselor | 4404 Queensbury Rd # 215&210, Riverdale, MD 20737-1068 | 2018-11-08 |
| 1881169498 | Baiden & Associates LLC | Counselor | 4642 Woodberry St, Riverdale, MD 20737-1066 | 2018-10-10 |
| 1164905311 | Jennifer Hart | Counselor | 6221 67th Ct, Riverdale, MD 20737-1731 | 2018-09-13 |
| 1376056598 | Guiding Light Therapeutic Services | Counselor | 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1074 | 2017-11-09 |
| 1770092876 | Compassionate Care | Counselor | 8050 Taylor Rd Apt 2305, Riverdale, GA 30274-7101 | 2017-09-21 |
| 1922466093 | Gisell Mejia | Counselor | 6245 Johnson Rd, Riverdale, GA 30274-1806 | 2016-02-04 |
| 1790141877 | Tangela Morris | Counselor | 375 Ridge Trl, Riverdale, GA 30274-1953 | 2016-01-05 |
| 1619263688 | William Dale Arrowsmith | Counselor | 5129 S 1500 W, Riverdale, UT 84405-3926 | 2011-06-28 |
| Find all providers in RIVERDALE | ||||
Please comment or provide details below to improve the information on DARSHA DARLENE 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.