HEATHER NICOLE CLARK (NPI# 1861983116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861983116 |
| Entity Type | Individual |
| Full Name | HEATHER NICOLE CLARK |
| Credential | MA, MFT |
| Practice Address |
510 E Carolina Ave Hartsville SC 29550-4396 |
| Practice Telephone | 8433324156 |
| Practice Fax Number | 8433324159 |
| Mailing Telephone | 8433324156 |
| Mailing Fax Number | 8433324159 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | SC | Behavioral Health & Social Service Providers | |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1417387721 | Heather Summers Clark | Counselor | 12729 Nw Twin Oaks Dr, Bristol, FL 32321-3431 | 2013-11-22 |
| 1093095010 | Heather C Clark | Physical Therapist | 778 Baeder Rd, Jenkintown, PA 19046-2236 | 2011-08-22 |
| 1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
| 1033281555 | Heather E Clark | Dentist | 269 N Easton Rd, Glenside, PA 19038-4717 | 2006-11-14 |
| 1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
| 1356343784 | Heather M Clark | Dentist | 2311 New Rd, Northfield, NJ 08225-1442 | 2005-08-15 |
| 1295365815 | Heather Elan Clark | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2020-01-23 |
| 1215424270 | Heather Lynn Clark | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-16 |
| 1467976696 | Heather Clark | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2017-07-31 |
| Street Address |
510 E CAROLINA AVE |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477617876 | Rubicon, Inc. | Community/Behavioral Health | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2006-12-20 |
| 1477103620 | Andrea D Pulling | Student in an Organized Health Care Education/Training Program | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2019-09-18 |
| 1922654177 | Julia Shannon Barbour | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2019-08-14 |
| 1366920134 | Kelly Hutchinson | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-08-02 |
| 1154829612 | Dorothy Matthews Selmon | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-01-30 |
| 1861940587 | Morgan North | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2016-09-12 |
| 1942601224 | Antoryia Wilkins | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-09-05 |
| 1467865675 | Allison Jessop Jahries | Social Worker | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-06-05 |
| 1518370956 | Corine Bakazan | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-06-03 |
| 1336578889 | Karen Blackwell-boyd | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1336329291 | Panora Zenik Wallace-jackson | Counselor | 576 W Carolina Ave, Hartsville, SC 29550-5412 | 2007-11-08 |
| 1366920134 | Kelly Hutchinson | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-08-02 |
| 1154829612 | Dorothy Matthews Selmon | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2018-01-30 |
| 1942601224 | Antoryia Wilkins | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-09-05 |
| 1518370956 | Corine Bakazan | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-06-03 |
| 1710224688 | Dorothy Miller Kelly | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2013-01-11 |
| 1194097238 | Whitney C Cranford | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2012-02-06 |
| 1225312598 | Shakeria Etoile Hunter | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2011-10-05 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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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.