DR. GRACE D. CLARK (NPI# 1982027728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982027728 |
Entity Type | Individual |
Full Name | DR. GRACE D. CLARK |
Credential | PH.D. |
Practice Address |
11205 Lake Victoria Ln Bowie MD 20720-4262 |
Practice Telephone | 3018096310 |
Mailing Telephone | 3018096310 |
Enumeration Date | 2014-01-30 |
Last Update Date | 2014-01-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
CL 73048 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407360910 | Grace Xinxing Clark | Dentist | 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 | 2017-11-20 |
1750777009 | Grace Clark | Veterinarian | 13160 Magisterial Dr, Louisville, KY 40223-4102 | 2015-04-14 |
1932531274 | Grace Teresa Clark | Speech-Language Pathologist | 3 Rambling Brook Rd, Upper Saddle River, NJ 07458-1110 | 2013-08-08 |
1972162840 | Grace Margaret Clark | Developmental Therapist | 345a Greenwood St, Worcester, MA 01607-1753 | 2019-06-13 |
1780030734 | Grace Clark | Nurse Practitioner | 3825 Medical Park Dr, Suite 100, Austell, GA 30106-6831 | 2016-05-09 |
Street Address |
11205 LAKE VICTORIA LN |
City | BOWIE |
State | MD |
Zip Code | 20720-4262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750709549 | Amazing Grace Christian Services | Counselor | 11205 Lake Victoria Ln, Bowie, MD 20720-4262 | 2014-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
Find all providers in zip 20720 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366983470 | Centrepointe Counseling, Inc | Counselor | 6510 Laurel Bowie Rd, Bowie, MD 20715-1705 | 2017-03-09 |
1932569670 | Alvin Powell | Counselor | 4421 Lancefield Ln, Bowie, MD 20720-3497 | 2016-02-23 |
1699178236 | Jam LLC | Counselor | 12809 10th St, Bowie, MD 20720-3652 | 2014-09-26 |
1750709549 | Amazing Grace Christian Services | Counselor | 11205 Lake Victoria Ln, Bowie, MD 20720-4262 | 2014-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790393 | Dora Brown Durante | Counselor | 11402 Prospect Ct, Glenn Dale, MD 20769-9451 | 2020-11-02 |
1598304545 | Silifat Apeke Akinrinsola | Counselor | 12112 Apache Tears Cir, Laurel, MD 20708-2864 | 2019-12-21 |
1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
1740741255 | Centrepointe Counseling, Inc. | Counselor | 1201 Maple Ave, Arbutus, MD 21227-2639 | 2019-03-27 |
1124504253 | Carol Elizabeth Richardson | Counselor | 12803 Twinbrook Pkwy Apt 204, Rockville, MD 20851-2446 | 2018-07-11 |
1447766613 | Willliam Joseph Moorman | Counselor | 611 Park Ave Ste 102, Baltimore, MD 21201-4572 | 2017-12-23 |
1275075962 | Mechelle Armstead-pharr | Counselor | 16325 New Hampshire Ave, Silver Spring, MD 20905-3913 | 2016-11-10 |
1396114047 | Dean Evans | Counselor | 1006 Phillips St, Cambridge, MD 21613-2712 | 2015-09-23 |
1104295856 | Centrepointe Counseling, Inc. | Counselor | 12525 Georgia Ave, Silver Spring, MD 20906-3603 | 2015-09-23 |
1003298696 | Centrepointe Counseling, Inc | Counselor | 8801 Stephens Rd, Laurel, MD 20723-1459 | 2015-06-19 |
Find all providers with the same taxonomy |
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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.