person
Louisa Ann Clark, LMHC
Mental Health Counselor in Tarpon Springs, Florida
NPI 1184726895

Louisa Ann Clark is a Mental Health Counselor based in Tarpon Springs, FL and is specialized in Mental Health. Louisa Ann Clark practices in Tarpon Springs, FL and has the professional credentials of LMHC. The NPI Number for Louisa Ann Clark is 1184726895 and holds a License No. MH-4716 (Florida).

The current practice location address for Louisa Ann Clark is 430 Athens St, Tarpon Springs, FL and can be reached out via phone at 727-709-8964 and via fax at 352-610-9272. You can also correspond with Louisa Ann Clark through the mailing address at PO BOX 1996, TARPON SPRINGS, FL - 34688-1996 (mailing address contact number: 727-709-8964).

Location: 430 Athens St, Tarpon Springs, FL, 34688-1996
person
Provider Profile Details
NPI Number
1184726895
Provider Name
Louisa Ann Clark
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
430 Athens St, Tarpon Springs, FL, 34688-1996
Phone Number
727-709-8964
Fax Number
352-610-9272
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
193239 01 FL AMERIGROUP
MH-4716 01 FL LMHC LICENSE #
Z020B 01 FL BCBS FL
0007418288 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
430 Athens St
City
State
Zip
34689-3104
Phone Number
727-709-8964
Fax Number
352-610-9272
person
Provider Business Mailing Address Details
Address
430 Athens St
City
State
Zip
34689-3104
Phone Number
727-709-8964
Fax Number
352-610-9272
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH-4716 (Florida)
Definition
Definition to come...
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