Active NPIIndividual providerSole proprietor

Gdebanen Clarke, LMHC

Counselor, Mental Health in North Chelmsford, Massachusetts

NPI Number1134714595
Practice location
25 Wellman Ave, North Chelmsford, MA 01863-1361
Fax
—
Last updated
March 20, 2025

Gdebanen Clarke is a Counselor, Mental Health based in North Chelmsford, MA. Gdebanen Clarke practices in North Chelmsford, MA and has the professional credentials of LMHC. The NPI Number for Gdebanen Clarke is 1134714595 and holds a License No. LMHC10001079 (MA). The current practice location address for Gdebanen Clarke is 25 Wellman Ave, North Chelmsford, MA 01863-1361 and can be reached out via phone at 978-251-4050.

Provider Profile Details

NPI Number
1134714595
Provider Name
Gdebanen Clarke
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
25 Wellman Ave, North Chelmsford, MA 01863-1361
Phone Number
978-251-4050
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 7, 2021
Last Update Date
March 20, 2025
Certification Date
March 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Wellman Ave
North Chelmsford, MA 01863-1361
Zip
01863-1361
Phone Number
978-251-4050
North Chelmsford, MA 01863Get directions →

Provider Business Mailing Address Details

Address
46 Garrison RD
Chelmsford, MA 01824-3735
City
Chelmsford
State
MA
Zip
01824-3735
Phone Number
603-856-5057

License Information

License Number
LMHC10001079
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gdebanen Clarke, LMHC?

The NPI number of Gdebanen Clarke, LMHC is 1134714595. It was assigned on March 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Gdebanen Clarke, LMHC?

Gdebanen Clarke, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10001079.

Where does Gdebanen Clarke, LMHC practice?

The practice location is 25 Wellman Ave, North Chelmsford, MA 01863-1361. The office can be reached at 978-251-4050 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134714595 directly on the NPPES registry website.

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