Active NPIIndividual providerSole proprietor

Heather J Clark, MA, LPC

Counselor, Mental Health in Maple Shade, New Jersey

NPI Number1144968694
Practice location
43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143
Fax
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Last updated
July 19, 2024

Heather Jean Clark is a Counselor, Mental Health based in Maple Shade, NJ. Heather Jean Clark practices in Maple Shade, NJ and has the professional credentials of MA, LPC. The NPI Number for Heather Jean Clark is 1144968694 and holds a License No. PC014131 (PA). The current practice location address for Heather Jean Clark is 43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143 and can be reached out via phone at 609-617-4604.

Provider Profile Details

NPI Number
1144968694
Provider Name
Heather Jean Clark
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Female
Address
43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143
Phone Number
609-617-4604
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2022
Last Update Date
July 19, 2024
Certification Date
July 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Village Of Stoney Run Apt F
Maple Shade, NJ 08052-2143
Zip
08052-2143
Phone Number
609-617-4604
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
43 Village Of Stoney Run Apt F
Maple Shade, NJ 08052-2143
City
Maple Shade
State
NJ
Zip
08052-2143
Phone Number
609-617-4604

License Information

License Number
PC014131
License State
PA
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 Heather J Clark, MA, LPC?

The NPI number of Heather J Clark, MA, LPC is 1144968694. It was assigned on May 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Heather J Clark, MA, LPC?

Heather J Clark, MA, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in PA under license number PC014131.

Where does Heather J Clark, MA, LPC practice?

The practice location is 43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143. The office can be reached at 609-617-4604 (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 1144968694 directly on the NPPES registry website.

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