CANDACE DANIELLE CLARK (NPI# 1437775095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437775095 |
| Entity Type | Individual |
| Full Name | CANDACE DANIELLE CLARK |
| Credential | LPC |
| Practice Address |
4211 Government Blvd Mobile AL 36693-4813 |
| Practice Telephone | 2516026457 |
| Mailing Telephone | 2516026457 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4279 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 2nd St, Chickasaw, AL 366111532 | 2053004770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166579 | Candace Ann Clark | Physician Assistant | 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 | 2020-05-21 |
| 1821448820 | Candace Clark | Clinic/Center | 17008 Sw 39th St, Miramar, FL 33027-4614 | 2016-06-21 |
| 1609297431 | Candace Clark | Dietitian, Registered | 1615 Delware Street, Longview, WA 98632 | 2013-12-20 |
| 1619534203 | Candace Clark | Social Worker | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-20 |
| 1629327101 | Candace Clark | Counselor | 202 East Bagley Road, Berea, OH 44017-2058 | 2012-08-30 |
| Street Address |
4211 GOVERNMENT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36693-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969120 | Holly Jo Mccleskey | Social Worker | 4211 Government Blvd, Mobile, AL 36693-4813 | 2005-08-12 |
| 1902420417 | Niva Brown | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2020-05-31 |
| 1558893446 | Misty Marie Bowen | Social Worker | 4211 Government Blvd, Mobile, AL 36693-4813 | 2017-03-30 |
| 1538619671 | Nicolette Harvey | Social Worker | 4211 Government Blvd, Mobile, AL 36693-4813 | 2016-10-13 |
| 1972053502 | Paul Richard Swaim-sanders | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2016-10-06 |
| 1811214323 | Jacqueline Lorraine Dean | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2010-04-23 |
| 1265653117 | Veronica Halie Jones | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2007-05-01 |
| 1154451508 | Michael B Robichaux | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
| 1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
| 1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
| 1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
| 1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
| Find all providers in zip 36693 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344602 | H.o.p.e. Counseling and Consulting, LLC | Counselor | 820 S. University Blvd Ste. 4-f, Mobile, AL 36609-3660 | 2020-10-19 |
| 1346891223 | Bay Area Professional Counseling LLC | Counselor | 3263 Demetropolis Rd Ste 8, Mobile, AL 36693-4638 | 2019-09-23 |
| 1487202859 | Cindy Kay Perronne | Counselor | 8161 Pine West Ct E, Mobile, AL 36695-9113 | 2019-08-29 |
| 1942861091 | Vallarie Jones | Counselor | 759 Courtney St, Mobile, AL 36606-4526 | 2019-06-27 |
| 1740742485 | The Nook Counseling Services, LLC | Counselor | 900 Downtowner Blvd Ste A-1, Mobile, AL 36609-5435 | 2019-04-02 |
| 1831653807 | Jessica Mcdonald | Counselor | 4087 Cottage Hill Rd Ste B, Mobile, AL 36609-4226 | 2019-01-24 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1871086850 | Tina Sullins Howard | Counselor | 879 Snow Rd N Ste 1c, Mobile, AL 36608-9713 | 2018-06-13 |
| 1568953255 | Reshonda Esther Hayles | Counselor | 2007 Carstens Ct, Mobile, AL 36617-3709 | 2018-05-29 |
| 1093218414 | Margaret Rose Lolley | Counselor | 1509 Government St Ste 102, Mobile, AL 36604-2016 | 2018-03-12 |
| Find all providers in MOBILE | ||||
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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.