WILL CLARK (NPI# 1770149619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149619 |
| Entity Type | Individual |
| Full Name | WILL CLARK |
| Credential | MS, APC, NCC |
| Practice Address |
2336 Wisteria Dr Ste 440 Snellville GA 30078-6160 |
| Mailing Address |
3228 Kings Bay Cir Decatur GA 30034-7123 |
| Practice Telephone | 4046647494 |
| Mailing Telephone | 4046647494 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC006757 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2336 WISTERIA DR STE 440 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347792 | Rebecca Morgan | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2017-03-14 |
| 1811505514 | Tiffany Nance | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2020-07-19 |
| 1306454103 | Monica Chapman | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2020-07-17 |
| 1013474246 | Janet Elizabeth Shaw | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2019-02-24 |
| 1255897856 | Toiya Danielle Williams | Marriage & Family Therapist | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2019-02-19 |
| 1538646401 | Sos Counseling and Consultation Group, LLC | Community/Behavioral Health | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124660790 | Bapuamoyo Kambeya | Counselor | 2505 Skylars Mill Way, Snellville, GA 30078-5752 | 2019-10-15 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1902347792 | Rebecca Morgan | Counselor | 2336 Wisteria Dr Ste 440, Snellville, GA 30078-6160 | 2017-03-14 |
| 1548704810 | Maryetta Finkley | Counselor | 1301 Wiloaks Dr, Snellville, GA 30039-7407 | 2016-12-06 |
| 1780033910 | Melanie Bentick | Counselor | 1789 Vertex Drive, Snellville, GA 30078 | 2016-06-08 |
| 1326496902 | Wholehearted Healing Counseling LLC | Counselor | 1350 Scenic Highway S., Suite 266, Snellville, GA 30078 | 2016-05-24 |
| 1265820716 | Taryn Ellis | Counselor | 1301 Bridgewater Walk, Snellville, GA 30078-2086 | 2015-01-07 |
| 1083002620 | Michal Angelique Collier | Counselor | 4246 Mountain Glen Trce, Snellville, GA 30039-6475 | 2015-01-06 |
| 1548668536 | Sanona Williams | Counselor | 2336 Wisteria Dr Ste 330, Snellville, GA 30078-6164 | 2014-12-08 |
| 1982038337 | Jan J Abbott | Counselor | 4462 Marci St, Snellville, GA 30039-6627 | 2013-08-21 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on WILL 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.