COURTNEY LYNN CLARK (NPI# 1457906588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457906588 |
| Entity Type | Individual |
| Full Name | COURTNEY LYNN CLARK |
| Practice Address |
207d Colegate Dr Marietta OH 45750-2363 |
| Practice Telephone | 7403760930 |
| Mailing Telephone | 7403760930 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056681 | Courtney Denise Clark | Counselor | 502 Mockingbird Dr, Crossville, TN 38555-5836 | 2020-09-03 |
| 1558722082 | Courtney Clark | Behavioral Analyst | 2541 White Mountain Hwy, Unit 5, North Conway, NH 03860-5125 | 2016-03-10 |
| 1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1720615008 | Courtney Clark | Physical Medicine & Rehabilitation | 3574 Center Rd, Brunswick, OH 44212-3618 | 2020-03-25 |
| 1518590660 | Courtney A Clark | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2020-02-18 |
| 1174170237 | Courtney Clark | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-23 |
| 1801351341 | Courtney Clark | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2019-02-08 |
| 1275002164 | Courtney Marie Clark | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2018-11-20 |
| 1740787027 | Courtney N Clark | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-04-12 |
| 1477079085 | Courtney Meadows Clark | Physician Assistant | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2017-08-15 |
| Street Address |
207D COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479784 | Lisa Kaye La Du | Social Worker | 207d Colegate Dr, Marietta, OH 45750 | 2006-06-28 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1285232017 | Madison F Anderson | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-14 |
| 1144835232 | Haley N Vanoster | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-09-15 |
| 1568075414 | Olivia A Ashcraft | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1114530169 | Alexandria R Westfall | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1003433939 | Erin S Godfrey | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-26 |
| 1942826854 | Philip L Tice | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-17 |
| 1982228326 | Brady Ohrn | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| 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 |
|---|---|---|---|---|
| 1215561931 | Rebekah Ruth Evans | Counselor | 142 S Park Sq Ne Ste H, Marietta, GA 30060-8616 | 2020-03-03 |
| 1710511092 | Alicia Lynn Abramski | Counselor | 200 Putnam St Ste 314316, Marietta, OH 45750-3005 | 2020-02-26 |
| 1285295345 | Stephen Mcelderry | Counselor | 2575 Delk Rd Se Apt 1130d, Marietta, GA 30067-6589 | 2019-06-27 |
| 1891243523 | Sharon West Rogers | Counselor | 797 Roswell St Ne, Marietta, GA 30060-2134 | 2016-09-11 |
| 1609243294 | Doris Whitworth | Counselor | 253 Sequoia Dr Ne, Marietta, GA 30060-7215 | 2015-08-31 |
| 1932576501 | Shaquana Smith | Counselor | 1640 Powers Ferry Rd Se Bldg 5-110, Marietta, GA 30067-9474 | 2015-08-30 |
| 1245622513 | Mysia Prickett | Counselor | 904 Arbor Forest Lndg Sw, Marietta, GA 30064-2865 | 2015-02-24 |
| 1790037745 | Marie Carmelle Jeanlouis | Counselor | 538 Russett Ct Sw, Marietta, GA 30064-4644 | 2012-10-15 |
| 1114204112 | Latosha Juanette Lornes | Counselor | 510 Bill Halstied St, Marietta, OK 73448-2646 | 2011-11-04 |
| 1376829622 | Miranda S Smith | Counselor | 1640 Powers Ferry Rd Bldg 3, 200, Marietta, GA 30067-5491 | 2011-11-01 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on COURTNEY LYNN 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.