DR. SUSAN MARIE CLARK


Address: 10 Wilson Rd, Stockbridge, GA 30281-4468
Phone: 6784384225

DR. SUSAN MARIE CLARK (NPI# 1154590073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154590073
Entity Type Individual
Full Name DR. SUSAN MARIE CLARK
Credential PH.D
Practice Address 10 Wilson Rd
Stockbridge
GA 30281-4468
Practice Telephone 6784384225
Practice Fax Number 7705068663
Mailing Telephone 6784384225
Mailing Fax Number 7705068663
Enumeration Date 2008-02-25
Last Update Date 2009-01-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
LPC005485 GA Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
LPC005485 GA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC005485 GA Behavioral Health & Social Service Providers

Other Providers SUSAN CLARK

NPI Name Taxonomy Address Enumeration
1376161950 Susan Marie Clark Nurse Practitioner 674 Coral Way, Winter Springs, FL 32708-3127 2020-07-09
1528591575 Susan Clark Counselor 604 S Walnut, Stillwater, OK 74074-4222 2017-04-06
1790178556 Susan March Clark Peer Specialist 3277 E 2nd St, Tulsa, OK 74104-2134 2015-03-17
1841537990 Susan Noble Clark Developmental Therapist 1730 Radcliffe Rd, Montgomery, AL 36106-2620 2013-01-09
1881963411 Susan Clark Occupational Therapy Assistant 38 Wheeler Ave, Warwick, NY 10990-1341 2011-12-28
1437302684 Susan Maslin Clark Chiropractor 20416 Bowfonds St, Ashburn, VA 20147-7457 2008-11-01
1871780940 Susan Marie Clark Counselor 112 S Water St Ste B, Kent, OH 44240-3689 2007-10-02
1750403861 Susan M Clark Psychologist 1022 Cherokee Ave, Royal Oak, MI 48067 2007-04-06
1598892085 Susan L Clark Psychiatry & Neurology 9515 60th Ave W, Mukilteo, WA 98275 2007-02-28
1609968692 Susan M Clark Pediatrics 1318 S Main Road, Vineland, NJ 08360 2006-09-28

Office Location

Street Address 10 WILSON RD
City STOCKBRIDGE
State GA
Zip Code 30281-4468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396822664 Gregory T. Samples Social Worker 10 Wilson Rd, Stockbridge, GA 30281-4433 2006-11-01
1972853638 Clark & Clark Counseling Center, LLC Community/Behavioral Health 10 Wilson Rd, Suite 9, Stockbridge, GA 30281-4468 2012-09-10
1619231941 Yvonne Marie Mongue Counselor 10 Wilson Rd, Stockbridge, GA 30281-4468 2012-07-02
1588960710 Anne L. Mccullough Counselor 10 Wilson Rd, Suite 1, Stockbridge, GA 30281-4468 2011-02-05
1790085611 Valerie Chillis Sanders Marriage & Family Therapist 10 Wilson Rd, Stockbridge, GA 30281-4468 2010-10-26
1649404674 Don Cotton Counselor 10 Wilson Rd, Stockbridge, GA 30281-4468 2009-05-05
1356581896 Kimberly P. Abernathy Counselor 10 Wilson Rd, Stockbridge, GA 30281-4468 2009-02-24
1841479821 Mary Jo Spitznagel White Counselor 10 Wilson Rd, Stockbridge, GA 30281-4468 2007-10-26
1679699953 Kelvin Leon Thompson Counselor 10 Wilson Rd, Stockbridge, GA 30281-4433 2007-03-21
1073643482 A Growth Place, Inc. Marriage & Family Therapist 10 Wilson Rd, Suite 1, Stockbridge, GA 30281-4433 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164039095 Colette Alls Social Worker 447 Lakeshore Dr, Stockbridge, GA 30281 2020-09-24
1982216800 Pediatric and Family Behavioral Health of Georgia Counselor 1004 Ulster Court, Stockbridge, GA 30281 2020-08-21
1518577659 Qunique Taveka Toxey Behavior Technician 115 N Park Trail, Suite 123, Stockbridge, GA 30281 2020-08-04
1497377675 Melanie Harvey Pharmacist 4467 North Henry Boulevard, Stockbridge, GA 30281 2020-05-11
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1306407143 Palliative Care of Georgia. LLC Home Health 275 Corporate Center Court Ste C, Stockbridge, GA 30281 2019-06-24
1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
1306306261 Prosthetic Care, Inc. Prosthetic/Orthotic Supplier 150 County Club Drive, Suite 200, Stockbridge, GA 30281 2019-03-25
1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
1942789284 Cameren Barnes Physical Therapist 5473 N Henry Blvd, Stockbridge, GA 30281 2018-08-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1316449572 Shamara Moody Counselor 245 Country Club Dr Bldg 100d, Stockbridge, GA 30281-7216 2018-03-05
1770094245 Shereka Brown Counselor 219 Leonard Ct, Stockbridge, GA 30281-1497 2017-10-23
1588174429 Tonika D Dew Evans Counselor 120 Mlk Sr Heritage Trl Ste 106, Stockbridge, GA 30281-3411 2017-10-05
1134661010 Taschovia Smith Counselor 3196 Mount Zion Rd #3902, Stockbridge, GA 30281-7849 2016-11-09
1275997835 Tavara Deanna Franklin Counselor 1702 Hudson Bridge Rd, Stockbridge, GA 30281-6387 2016-04-11
1407244197 Darryl Askew Counselor 358 Cotillion Dr, Stockbridge, GA 30281-1078 2015-01-03
1386049435 Sandra Ivelisse Sosa Counselor 150 Garden Walk, Stockbridge, GA 30281-7324 2014-10-31
1770914194 Tiwanna Davis Counselor 240 Corporate Center Dr Ste D, Stockbridge, GA 30281-7214 2013-12-11
1295164549 Mindful Realization Counseling & Consulting, LLC Counselor 1520 Buckingham Pl, Stockbridge, GA 30281-7923 2013-11-07
Find all providers in STOCKBRIDGE

Competitor

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City STOCKBRIDGE
Zip Code 30281

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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