MADISON CLARK


Address: 11615 Northgate Trl, Roswell, GA 30075-2335
Phone: 6786435421

MADISON CLARK (NPI# 1841645389) 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) 1841645389
Entity Type Individual
Full Name MADISON CLARK
Practice Address 11615 Northgate Trl
Roswell
GA 30075-2335
Practice Telephone 6786435421
Enumeration Date 2016-05-03
Last Update Date 2016-05-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Providers MADISON CLARK

NPI Name Taxonomy Address Enumeration
1821531492 Madison Rae Clark Specialist/Technologist 15413 E 3rd Ter S, Independence, MO 64050-2289 2016-11-29
1407195183 Madison Anne Clark Counselor 711 W Main Street, Norman, OK 73069-6918 2013-01-31
1053950972 Madison R Clark Nurse Practitioner 1275 York Ave, New York, NY 10065-6007 2019-12-23

Office Location

Street Address 11615 NORTHGATE TRL
City ROSWELL
State GA
Zip Code 30075-2335

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889539 William Shelton Green Specialist/Technologist 1055 Riceland Ct, Roswell, GA 30075 2018-04-27
1043712524 Lena Claire Morison Music Therapist 12060 Etris Rd. #200, Roswell, GA 30075 2018-03-01
1790232031 Christina Danielle Dicioccio Physician Assistant 11040 Crabapple Rd # Suiea, Roswell, GA 30075 2016-09-02
1720531767 Arbor Cove Therapy LLC Social Worker 981 Canton St, Suite 200-e, Roswell, GA 30075 2016-07-26
1740640887 Christina C Plaice Counselor 10882 Crabapple Road, Suite 2, Roswell, GA 30075 2016-03-02
1215316435 Jlm X-ray LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1015 Canton Street, Roswell, GA 30075 2015-05-20
1174953624 Ellen Terrell Occupational Therapist 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 2013-11-20
1114269974 Patricia E Hernandez Nurse Practitioner 10479 Alpharetta St Ste 18, Roswell, GA 30075 2013-03-20
1750623658 The George Center Foundation Music Therapist 1206 Etris Rd., Suite 200, Roswell, GA 30075 2013-03-19
1407187735 Rachael Anne Templeton Chiropractor 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 2010-01-27
Find all providers in zip 30075

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881169852 Susannah Bales Marriage & Family Therapist 900 Old Roswell Lakes Pkwy Ste 200, Roswell, GA 30076-8665 2018-10-05
1083135552 Luna Y Sol Life Services Marriage & Family Therapist 2001 W 4th St, Roswell, NM 88201-1752 2017-07-05
1821540170 Charles Stokes Marriage & Family Therapist 500 Sun Valley Dr Ste C1, Roswell, GA 30076-5641 2016-11-02
1457586018 Michelle Codington Rogers Marriage & Family Therapist 139 Autumn Ridge Trail, Roswell, GA 30076 2009-05-26
1881861318 Linda Carol Fredo Marriage & Family Therapist 9860 Bankside Dr, Roswell, GA 30076-3767 2008-05-14
1508032913 Alan Autry Garrison Marriage & Family Therapist 10927 Crabapple Rd, Roswell, GA 30075-3032 2008-05-06
1174662415 Dawn M Foster Marriage & Family Therapist 595 Colonial Park Dr Ste 301, Roswell, GA 30075-3788 2007-02-05
1467598425 Jamae Therese Marcinko Marriage & Family Therapist 700 Old Roswell Lakes Pkwy Ste 350, Roswell, GA 30076 2007-01-29
1588714182 Doyle R. Hamilton IIi Marriage & Family Therapist 710 Mimosa Blvd, Roswell, GA 30075-4408 2007-01-12
1982777611 Kevin B Berry Marriage & Family Therapist 4202 W Mcgaffey St, Roswell, NM 88203-9384 2006-11-17
Find all providers in ROSWELL

Competitor

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City ROSWELL
Zip Code 30075

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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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