MICHELLE JEAN CLARK (NPI# 1568078947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078947 |
| Entity Type | Individual |
| Full Name | MICHELLE JEAN CLARK |
| Credential | LAPC |
| Practice Address |
318 S Welborn St Ste C Hinesville GA 31313-3127 |
| Mailing Address |
43 Saddlebrush Rd Ellabell GA 31308-7402 |
| Practice Telephone | 9123325145 |
| Mailing Telephone | 7193376592 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC007443 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1215488168 | Michelle Allison Clark | Nurse Practitioner | 413 Glenbrook Rd, 9, Stamford, CT 06906-2126 | 2016-10-16 |
| 1174995120 | Michelle Annette Clark | Massage Therapist | 1935 S I St Apt A, Apt A, Tacoma, WA 98405-3879 | 2015-10-28 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1245620822 | Michelle Clark | Technician, Other | 715 Briar Hill Ln, Saginaw, MI 48609-5005 | 2015-02-03 |
| 1578987533 | Michelle Clark | Kinesiotherapist | 4573 Normandie Pl, La Mesa, CA 91942-8502 | 2014-02-12 |
| 1457624686 | Michelle Clark | Occupational Therapist | 6276 Jackie Ave, Woodland Hills, CA 91367-1422 | 2012-02-19 |
| 1922302967 | Michelle Clark | Occupational Therapist | 1930 Circle of Hope Dr Fl 2, Salt Lake City, UT 84132-0001 | 2011-01-05 |
| 1972813517 | Michelle Ann Clark | Marriage & Family Therapist | 10904 57th St Ne Ste 106, Albertville, MN 55301-4654 | 2010-10-18 |
| 1831322049 | Michelle Elise Clark | Naturopath | 537 Fore Dr, Bradenton, FL 34208-8447 | 2009-09-03 |
| Street Address |
318 S WELBORN ST STE C |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389438 | Sarah Teresa Anderson | Counselor | 101 E Memorial Dr, Hinesville, GA 31313-2727 | 2017-07-23 |
| 1649722208 | Barry Scott Chapman | Counselor | 115 Ali Ave, Hinesville, GA 31313-3812 | 2016-10-31 |
| 1316499387 | Barry S. Chapman and Associates LLC | Counselor | 116 Patriot Trl, Hinesville, GA 31313-3427 | 2016-10-26 |
| 1235688250 | Serve, LLC | Counselor | 110 N Commerce St, Hinesville, GA 31313-2720 | 2016-10-03 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1598176026 | Katherine Lee | Counselor | 438 Elm St, Hinesville, GA 31313-3946 | 2014-05-19 |
| 1447680897 | Melissa Maulden | Counselor | 215 East Court Street, Hinesville, GA 31313 | 2013-11-21 |
| 1679919195 | Advent Care Systems | Counselor | 745 South Main, 745, Hinesville, GA 31313 | 2013-05-13 |
| 1437438934 | Michael Porter | Counselor | 790 Frank Cochran Dr Ste 111, Hinesville, GA 31313-3991 | 2011-08-15 |
| 1184911190 | Vivian Kish | Counselor | 1458 Airport Rd, Hinesville, GA 31313-9401 | 2011-06-29 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on MICHELLE JEAN 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.