MRS. RANI KATRINA CLARK (NPI# 1215409586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215409586 |
| Entity Type | Individual |
| Full Name | MRS. RANI KATRINA CLARK |
| Practice Address |
977a Taylor St Sw Conyers GA 30012-5357 |
| Mailing Address |
3228 Kings Bay Cir Decatur GA 30034-7123 |
| Practice Telephone | 6782092677 |
| Practice Fax Number | 6782126309 |
| Mailing Telephone | 4048087206 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252878 | Rani L. Clark | Nurse Practitioner | 2885 Alexandria Pike, Highland Heights, KY 41076-1511 | 2018-04-11 |
| Street Address |
977A TAYLOR ST SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861577207 | Mariny Margaret Mahabee-harris | Psychologist | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2006-10-26 |
| 1659724987 | Alyssa Johnson | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2016-07-21 |
| 1265798953 | Patricia Whatley Showelll | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2012-04-06 |
| 1386920387 | Rosemary D. Lewis | Registered Nurse | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2011-10-24 |
| 1144518242 | Joseph William Witherspoon Jr. | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2011-07-11 |
| 1790084697 | Amanda Grace Garner-patrick | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2011-03-18 |
| 1740423995 | Cheryl Anita Garcia | Registered Nurse | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2009-04-16 |
| 1871732834 | Jennifer E Hester | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2009-02-16 |
| 1588707640 | Courtney Bedford | Counselor | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2007-02-15 |
| 1033251343 | Ruthie Lee Culver-reed | Social Worker | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1093326217 | Shaunda Ayana Jones | Counselor | 2124 Blueberry Ln, Conyers, GA 30013-1476 | 2020-08-11 |
| 1508484627 | Star-jabrea Farrington | Counselor | 323 Saint Clair Dr, Conyers, GA 30094-4968 | 2020-07-07 |
| 1588138911 | Candice Waller | Counselor | 2856 Bridle Creek Dr Sw, Conyers, GA 30094-5677 | 2019-01-18 |
| 1336636133 | Friends In Transformation LLC | Counselor | 2031 Gees Mill Rd Ne Ste 102, Conyers, GA 30013-1328 | 2018-04-17 |
| 1457853160 | Charonda Gardner | Counselor | 3205 Salem Rd Se, Conyers, GA 30013-5302 | 2018-03-08 |
| 1083124762 | Graceol Counseling Center Inc | Counselor | 1035 Honey Creek Rd Se, Conyers, GA 30013-2948 | 2017-10-06 |
| 1356851547 | Melissa Morgan | Counselor | 532 Saint Clair Dr, Conyers, GA 30094-4972 | 2017-10-03 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1225570062 | Lakesha Link | Counselor | 1936 Iris Dr Sw, Conyers, GA 30094-1245 | 2016-11-10 |
| Find all providers in CONYERS | ||||
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| 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.