KARCIE WYATT-CLARK (NPI# 1710595236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710595236 |
| Entity Type | Individual |
| Full Name | KARCIE WYATT-CLARK |
| Practice Address |
9501 W Coyote Hill Rd Harrisburg MO 65256-9598 |
| Mailing Address |
1808 Wabash Ave Moberly MO 65270-2175 |
| Practice Telephone | 5738740179 |
| Mailing Telephone | 6604146311 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2019037062 | MO | Behavioral Health & Social Service Providers |
| Street Address |
9501 W COYOTE HILL RD |
| City | HARRISBURG |
| State | MO |
| Zip Code | 65256-9598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596365 | Coyote Hill Christian Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2006-12-21 |
| 1851866305 | Clara Ann Filbert | Counselor | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2018-10-11 |
| 1043668106 | Rachel Howell | Social Worker | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2016-05-31 |
| 1568731065 | Erica Devin Alexander | Social Worker | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2011-12-29 |
| 1710271622 | Lawrence M Mcdaniel | Social Worker | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2011-06-08 |
| 1962614701 | William R. Atherton | Social Worker | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2007-05-04 |
| 1194944173 | Andrew Spencer Upham | Social Worker | 9501 W Coyote Hill Rd, Harrisburg, MO 65256-9598 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699941963 | Christine E. Gavett | Optometrist | 13020 N Route E, Harrisburg, MO 65256 | 2008-05-06 |
| 1225379175 | Elizabeth Freeman | Dietitian, Registered | 7800 W Highway 124, Harrisburg, MO 65256-9228 | 2013-03-01 |
| 1457552598 | Mary Ellen Brady Kovacs | Counselor | 520 North State Route Y, Harrisburg, MO 65256-9421 | 2007-05-29 |
| 1528363736 | Jena Pirtle | Physical Therapy Assistant | 12000 N Lewis Ln, Harrisburg, MO 65256-9476 | 2011-01-19 |
| 1043356801 | Sarah Ann Froese | Social Worker | 6400 W Highway 124, Harrisburg, MO 65256-9495 | 2007-01-29 |
| 1386718617 | Harrisburg R-viii School District | Local Education Agency (LEA) | 1000 S Harris St, Harrisburg, MO 65256-9894 | 2006-11-20 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351938 | Felicia L. Brown-haywood | Counselor | 6530 Derry St Fl 2, Harrisburg, PA 17111-4468 | 2020-09-18 |
| 1871103788 | Oluwasegun Lawal | Counselor | 5006 Wynnewood Rd # 5006, Harrisburg, PA 17109-5463 | 2020-08-05 |
| 1386264273 | Shacora Renee Hayes | Counselor | 1223 N 2nd St, Harrisburg, PA 17102-2711 | 2020-04-20 |
| 1003456492 | Samuel Watkins | Counselor | 331 Schuylkill St, Harrisburg, PA 17110-1930 | 2020-01-14 |
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1477022614 | Enso Wellness Inc | Counselor | 2014 Green St Rear, Harrisburg, PA 17102-2127 | 2018-11-16 |
| 1235615816 | Maureen Elizabeth Roth | Counselor | 3642 Derry Street, Harrisburg, PA 17111-1919 | 2018-07-17 |
| 1942703640 | Amanda Davis-buie | Counselor | 3619 Walnut St, Harrisburg, PA 17109-2553 | 2018-03-09 |
| 1861917072 | Eileen M Hunt | Counselor | 939 E Park Dr, Harrisburg, PA 17111-2815 | 2017-08-08 |
| 1992246490 | Greg Kessler | Counselor | 344 S 13th St, Harrisburg, PA 17104-1777 | 2017-03-16 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 65256 |
Please comment or provide details below to improve the information on KARCIE WYATT-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.