DR. GARY MIKE CLARK


Address: 8911 3rd Street Rd, Louisville, KY 40272-2501
Phone: 5025235433

DR. GARY MIKE CLARK (NPI# 1912022484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912022484
Entity Type Individual
Full Name DR. GARY MIKE CLARK
Credential L.M.F.T.
Practice Address 8911 3rd Street Rd
Louisville
KY 40272-2501
Mailing Address 8014 Red Bud Hill Dr
Louisville
KY 40228-2215
Practice Telephone 5025235433
Mailing Telephone 5025235433
Mailing Fax Number 5022391651
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist KY-0272 KY Behavioral Health & Social Service Providers

Other Providers GARY CLARK

NPI Name Taxonomy Address Enumeration
1548876048 Gary Lee Clark In Home Supportive Care 71312 Woods Ave, Martins Ferry, OH 43935-3104 2020-09-20
1588085302 Gary Marvin Clark Pharmacist 15227 Aurora Cir, Urbandale, IA 50323-2472 2013-12-20
1487855961 Gary K. Clark Dentist 9730 S 700 E Ste 106, Sandy, UT 84070-4503 2007-05-30
1174649172 Gary Clark Social Worker 502 W 143rd St, Suite 3a, New York, NY 10031-6507 2007-03-21
1013987759 Gary Wayne Clark Family Medicine 125 Canton Rd Nw, Carrollton, OH 44615-1009 2006-01-25
1609861152 Gary W Clark Podiatrist 166 W 1325 N, Suite 300, Cedar City, UT 84721-7792 2005-09-12
1972140713 Gary Clark Behavior Technician 100 Spenryn Dr, Madison, AL 35758-1890 2019-11-27
1043514540 Gary D Clark Pharmacist 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 2010-12-27
1902962939 Gary Bruce Clark General Practice 1790 30th St, Suite 230, Boulder, CO 80301-1022 2006-12-27
1518042274 Gary C. Clark Surgery 7901 Frost St, Sharp Memorial Hospital, San Diego, CA 92123-2701 2006-10-25

Office Location

Street Address 8911 3RD STREET RD
City LOUISVILLE
State KY
Zip Code 40272-2501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649795105 Jewell Elizabeth Berger Occupational Therapist 9700 Stone Street Rd, Louisville, KY 40272 2017-08-07
1235668658 Jessica Cook Occupational Therapy Assistant 12420 Hedgeapple Way, Louisville, KY 40272 2017-06-08
1033468525 Shawn Thomas Benningfield Counselor 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 2012-08-30
1386956415 Jeannette M Martin Marriage & Family Therapist 9800 Stonestreet Rd, Louisville, KY 40272 2010-07-06
1437346145 Community Family Living, LLC Day Training, Developmentally Disabled Services 610 Valley College Dr., Louisville, KY 40272 2007-09-26
1982797403 William Spencer Shipley Dentist 9900 Old Third Street Road, Louisville, KY 40272 2006-10-02
1962513317 Teresa May Wright Nurse Practitioner 1912 Penile Rd, Valley Station, KY 40272 2006-08-31
1710400734 Walgreen Co Durable Medical Equipment & Medical Supplies 701 Valley College Dr, Louisville, KY 40272 2017-07-21
1952851859 Renew Recovery, LLC Substance Abuse Rehabilitation Facility 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 2016-10-04
1780090233 Umama Sadia Family Medicine 9702 Stonestreet Rd, Louisville, KY 40272 2014-07-05
Find all providers in zip 40272

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801408497 Laura M Green Marriage & Family Therapist 3013 Vogue Ave, Louisville, KY 40220-2533 2020-08-17
1841818820 Amanda L Huff Marriage & Family Therapist 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 2020-07-07
1265052153 Jessica Craven Marriage & Family Therapist 5500 Matterhorn Dr, Louisville, KY 40216-1327 2020-04-21
1609404227 Don P Delafield Marriage & Family Therapist 731 Speckman Rd, Louisville, KY 40243-2826 2020-03-30
1932739869 Sara Ann Semenick Marriage & Family Therapist 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 2020-01-20
1417594334 Shawn L Stinson Sr. Marriage & Family Therapist 201 S Peterson Ave, Louisville, KY 40206-2573 2019-12-10
1861034977 Cheryl Rosa Gilbert Marriage & Family Therapist 8815 Lakeridge Dr, Louisville, KY 40272-2405 2019-10-09
1144876079 Karen Rawlings Marriage & Family Therapist 600 E Oak St, Louisville, KY 40203-3463 2019-08-15
1568016798 Melissa Dean Smith Marriage & Family Therapist 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 2019-07-25
1922668771 Sean Brooks Marriage & Family Therapist 800 Lily Creek Rd Ste 202, Louisville, KY 40243-2811 2019-06-14
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40272

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Dataset Information

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.

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