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Mr. Samuel P. Clark, LMH
Mental Health Counselor in Gainesville, Florida
NPI 1265742001

Samuel P. Clark is a Mental Health Counselor based in Archer, FL and is specialized in Mental Health. Samuel P. Clark practices in Gainesville, FL and has the professional credentials of LMH. The NPI Number for Samuel P. Clark is 1265742001 and holds a License No. MH820 (Florida).

The current practice location address for Samuel P. Clark is 1218 Nw 6Th Street, Gainesville, FL and can be reached out via phone at 352-244-0628 and via fax at 352-334-3817. You can also correspond with Samuel P. Clark through the mailing address at 16243 SW 143RD AVE, ARCHER, FL - 32618-4778 (mailing address contact number: 352-244-0628).

Location: 1218 Nw 6Th Street, Gainesville, FL, 32618-4778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265742001
Provider Name
Samuel P. Clark
Credential
LMH
Provider Entity Type
Individual
Gender
Male
Address
1218 Nw 6Th Street, Gainesville, FL, 32618-4778
Phone Number
352-244-0628
Fax Number
352-334-3817
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1218 Nw 6Th Street
City
Gainesville
State
Florida
Zip
32601
Phone Number
352-244-0628
Fax Number
352-334-3817
person
Provider Business Mailing Address Details
Address
1218 Nw 6Th Street
City
Gainesville
State
Florida
Zip
32601
Phone Number
352-244-0628
Fax Number
352-334-3817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH820 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH820 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH820 (Florida)
Definition
Definition to come...
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