Randy Clark LPC LLC
Community/Behavioral Health in Upper Montclair, New Jersey
1932577459- Practice location
- 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850
- Phone
- 973-220-9864
- Fax
- 973-807-9363
- Last updated
- August 19, 2016
Randy Clark LPC LLC is a healthcare organization based in Upper Montclair, NJ. Randy Clark LPC LLC practices in Upper Montclair, NJ. The NPI Number for Randy Clark LPC LLC is 1932577459. The current practice location address for Randy Clark LPC LLC is 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850 and can be reached out via phone at 973-220-9864 and via fax at 973-807-9363.
Provider Profile Details
- NPI Number
- 1932577459
- Provider Name
- Randy Clark LPC LLC
- Provider Entity Type
- Organization
- Address
- 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- William Randall Clark, LPC LCADC · Owner · 973-220-9864
- Provider Enumeration Date
- September 15, 2015
- Last Update Date
- August 19, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Cooper Avenue
Suite 2
Upper Montclair, NJ 07043-1850 - City
- Upper Montclair
- State
- New Jersey
- Zip
- 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
Provider Business Mailing Address Details
- Address
- 209 Cooper Avenue
Suite 2
Upper Montclair, NJ 07043-1850 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Randy Clark LPC LLC?
The NPI number of Randy Clark LPC LLC is 1932577459. It was assigned on September 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Randy Clark LPC LLC?
Randy Clark LPC LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Randy Clark LPC LLC practice?
The practice location is 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850. The office can be reached at 973-220-9864 (phone) or 973-807-9363 (fax).
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 1932577459 directly on the NPPES registry website.