MS. ALETHA JENNIFER CLARK (NPI# 1912049594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912049594 |
| Entity Type | Individual |
| Full Name | MS. ALETHA JENNIFER CLARK |
| Credential | LPC, CPCS, CAC II |
| Practice Address |
2386 Clower St Building C, Suite 100 Snellville GA 30078-6134 |
| Mailing Address |
2386 Clower St Ste C100 Snellville GA 30078-6107 |
| Practice Telephone | 4045500564 |
| Practice Fax Number | 6783442956 |
| Mailing Telephone | 4045500564 |
| Mailing Fax Number | 6783442956 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1658-R | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004805 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 894502453A | 05 |
| Street Address |
2386 CLOWER ST BUILDING C, SUITE 100 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321175 | Alan F Mcewen | Chiropractor | 2386 Clower St, Suite G102, Snellville, GA 30078-6134 | 2006-09-25 |
| 1831513365 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-02-04 |
| 1053734806 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-01-30 |
| 1245528835 | Catherine Adams | Counselor | 2386 Clower St, C-211, Snellville, GA 30078-6134 | 2011-07-16 |
| 1215260666 | Clark Counseling & Consulting, Inc. | Counselor | 2386 Clower St, Building C, Suite 100, Snellville, GA 30078-6134 | 2009-09-16 |
| 1679715627 | Alternative Home Care for Seniors | Home Health | 2386 Clower St, Snellville, GA 30078-6134 | 2009-04-06 |
| 1154563286 | Sovereign Personal Services | In Home Supportive Care | 2386 Clower St, Bldg D, Suite 100d, Snellville, GA 30078-6134 | 2009-04-06 |
| 1336398742 | Sunrise Counseling, Inc. | Community/Behavioral Health | 2386 Clower St, Bldg C, Suite 100, Snellville, GA 30078-6134 | 2008-09-10 |
| 1154508406 | Staci Lynn Jackson | Occupational Therapist | 2386 Clower St, Bld E, Ste 102, Snellville, GA 30078-6134 | 2008-01-29 |
| 1043497084 | Mcewen Chiropractic Center, Inc. | Chiropractor | 2386 Clower St, Suite G/102, Snellville, GA 30078-6134 | 2008-01-22 |
| Find all providers in the same location | ||||
| 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 MS. ALETHA JENNIFER 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.