TRACI B CLARK (NPI# 1447629738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447629738 |
| Entity Type | Individual |
| Full Name | TRACI B CLARK |
| Other Name | TRACI LEIGH BOYETT |
| Credential | LPC |
| Practice Address |
110 Lake Powell Dr West Monroe LA 71292-2107 |
| Practice Telephone | 3186144796 |
| Mailing Telephone | 3186144796 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4065 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073548996 | Traci D Clark | Chiropractor | 224 N Fairview Road, Rocky Mount, NC 27801 | 2006-07-11 |
| 1447471735 | Traci D Clark | Occupational Therapy Assistant | 910 W Walnut St, Albany, IN 47320-1530 | 2007-05-02 |
| Street Address |
110 LAKE POWELL DR |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71292-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
| 1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
| 1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
| 1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
| 1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
| 1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
| 1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
| 1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
| 1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
| 1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
| Find all providers in zip 71292 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885115 | Mackenzie Brianne Mullins | Counselor | 1196 Rogers Rd, West Monroe, LA 71292-1976 | 2016-12-13 |
| 1689127185 | Millicent Bridges-johnson | Counselor | 905 Parkwood Dr Apt C, West Monroe, LA 71291-5445 | 2016-08-01 |
| 1265899314 | Keyandrea James | Counselor | 308 Browning Ave, West Monroe, LA 71292-3614 | 2016-01-20 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1902276595 | Destiny Butler | Counselor | 1418 Ridge Dr, West Monroe, LA 71292-5888 | 2015-09-25 |
| 1114186939 | Lisa K Spann | Counselor | 600 Wood St, West Monroe, LA 71291-3224 | 2008-06-06 |
| 1336753672 | Andrew B. Dodson, Phd LLC | Counselor | 3201 N 7th St, West Monroe, LA 71291-2229 | 2020-09-03 |
| 1285086777 | Toni Boler | Counselor | 2809 Arkansas Rd, #6, West Monroe, LA 71291-8694 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840444 | Bradford J Williams | Counselor | 624 S 16th St, Baton Rouge, LA 70802-4011 | 2020-10-28 |
| 1508466715 | Shona D Dyche | Counselor | 1324 Violet Ave, Bossier City, LA 71112-4639 | 2020-10-27 |
| 1861009979 | Monica H Fefie | Counselor | 1234 S Sanctuary Ave, Gonzales, LA 70737-4273 | 2020-09-23 |
| 1225644388 | Maya B Galathe | Counselor | 3476 Sweetwater Blvd Apt 3104, Addis, LA 70710-0220 | 2020-09-23 |
| 1255947883 | Vanessa Brown | Counselor | 12438 Lockhaven Ave, Baton Rouge, LA 70815-6537 | 2020-09-18 |
| 1710593538 | Deanna Mathews, Lpc, LLC | Counselor | 115 S Cypress St Ste A, Hammond, LA 70403-4234 | 2020-09-17 |
| 1215547443 | Ledford Enterprises, LLC | Counselor | 298 Woodland Circle, Calhoun, LA 71225 | 2020-08-03 |
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1508483256 | Erica T Carr | Counselor | 3837 Mercer Ln, Harvey, LA 70058-2134 | 2020-06-29 |
| 1932724713 | Restoring Light Counseling, LLC | Counselor | 3018 Old Minden Rd Ste 1113e, Bossier City, LA 71112-2476 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST MONROE |
| Zip Code | 71292 |
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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.