MS. CONNETRA LASHAN CLARK (NPI# 1306293162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306293162 |
| Entity Type | Individual |
| Full Name | MS. CONNETRA LASHAN CLARK |
| Practice Address |
1900 Se 4th St 42 Gainesville FL 32641-8791 |
| Practice Telephone | 3526424775 |
| Mailing Telephone | 3526424775 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1900 SE 4TH ST 42 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32641-8791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060323 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1120 E University Ave Ste 200, Gainesville, FL 32641 | 2018-04-09 |
| 1750882940 | Enough Love LLC | In Home Supportive Care | 1424 Ne 4th Avenue, Gainesville, FL 32641 | 2018-02-23 |
| 1053822981 | Thomas Richard Obrien | Licensed Practical Nurse | 1604 S.e. 3rd Ave., Gainesville, FL 32641 | 2017-10-18 |
| 1184842734 | Abigail N Yeh | Music Therapist | 2610 Se 31st St, Gainesville, FL 32641 | 2007-04-20 |
| 1023120920 | Lynne Marie Webster | Registered Nurse | Achd 224 Se 24th St, Gainesville, FL 32641 | 2006-08-31 |
| 1477048080 | Lara Rae Rybak | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2018-06-26 |
| 1720523095 | Samantha Jade Smith | Psychologist | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2016-12-22 |
| 1871967133 | Caitlin Gable | Social Worker | 1604 Se 3rd Ave, Gainesville, FL 32641 | 2015-11-23 |
| 1184097966 | Bhumi Patel | Physician Assistant | 224 Se 24th Street, Gainesville, FL 32641 | 2015-11-03 |
| 1588047468 | Volha Titov | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2015-07-09 |
| Find all providers in zip 32641 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861849622 | Earl Turner | Counselor | 1800 Nw 4th St Apt C27, Gainesville, FL 32609-8600 | 2016-05-20 |
| 1144614819 | Kelly Ann Nenezian | Counselor | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2015-03-20 |
| 1699178434 | Latosha Morgan | Counselor | 703 Ne 1st St, Gainesville, FL 32601-5304 | 2014-10-08 |
| 1750783791 | Christina Ann Maria Quinene | Counselor | 2305 Nw 65th Rd, Gainesville, FL 32653-1592 | 2014-09-22 |
| 1477796357 | Alicia M Bheer | Counselor | 4400 Sw 13th St, Gainesville, FL 32608-4008 | 2009-04-08 |
| 1164506846 | Heather S. Damron | Counselor | 4432 Nw 23rd Ave Ste 4, Gainesville, FL 32606-6560 | 2006-10-25 |
| 1558365833 | Hippodrome State Theatre | Counselor | 25 Se 2nd Pl, Gainesville, FL 32601-6567 | 2005-06-02 |
| 1821613449 | Suzanne Stanley | Counselor | 2318 Browns Bridge Rd, Gainesville, GA 30504-6041 | 2020-06-09 |
| 1902420367 | Lakesha Mafronsa Thomas | Counselor | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-06-02 |
| 1477185924 | Kehinde Walker | Counselor | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2020-02-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32641 |
Please comment or provide details below to improve the information on MS. CONNETRA LASHAN CLARK.
| 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.