LATARIOUS CLARK (NPI# 1659827673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659827673 |
| Entity Type | Individual |
| Full Name | LATARIOUS CLARK |
| Practice Address |
135 Brentwood Dr Athens GA 30605-3901 |
| Practice Telephone | 7062244851 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009108 | GA | Behavioral Health & Social Service Providers |
| Street Address |
135 BRENTWOOD DR |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906507 | Kaye Elizabeth Waldrep | Counselor | 330 Winterberry Dr, Athens, GA 30606-3208 | 2020-09-10 |
| 1669094314 | Erica Ashley Dell | Counselor | 1 Huntington Rd Ste 704, Athens, GA 30606-7215 | 2020-05-15 |
| 1871145235 | Jm Professional Counseling Services, Pllc | Counselor | 119 South Palestine St, Athens, TX 75751-8710 | 2019-07-15 |
| 1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
| 1558848598 | Tara Thomas | Counselor | 545 Research Dr Ste D, Athens, GA 30605-2745 | 2018-07-23 |
| 1487151437 | Beth Porter | Counselor | 485 Huntington Rd Ste 196, Athens, GA 30606-1845 | 2018-04-06 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1134666845 | Teresa C Ruiz | Counselor | 585 Research Drive, Suite B, Athens, GA 30605-2761 | 2017-01-20 |
| 1376996017 | Celina Vereen | Counselor | 2340 Prince Ave Ste B, Athens, GA 30606-6004 | 2016-07-18 |
| 1114314770 | Kendall Poppell Weinberg | Counselor | 367 Prince Ave, Athens, GA 30601-2471 | 2015-04-22 |
| Find all providers in ATHENS | ||||
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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.