MR. ROBERT LUCIEN CLARK (NPI# 1932282704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932282704 |
| Entity Type | Individual |
| Full Name | MR. ROBERT LUCIEN CLARK |
| Credential | L.P.C., N.C.C. |
| Practice Address |
42 North Avenue Cleveland GA 30528-1398 |
| Mailing Address |
19 Lake Pt Sautee Nacoochee GA 30571-5180 |
| Practice Telephone | 7063488674 |
| Practice Fax Number | 7063488676 |
| Mailing Telephone | 7068781485 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2168 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
42 NORTH AVENUE |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1023210044 | Peachtree Pharmacy Services | Pharmacist | 1018 South Main Str, Hwy 129 Suite A, Cleveland, GA 30528 | 2007-06-01 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| Find all providers in zip 30528 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| 1316552649 | Monisa Ramseur | Counselor | 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 | 2020-09-14 |
| 1164031076 | Michele R Princeton | Counselor | 3846 E 65th St, Cleveland, OH 44105-3560 | 2020-07-27 |
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1811522337 | Mary Cassidy | Counselor | 4128 Lorain Ave, Cleveland, OH 44113-3719 | 2020-03-04 |
| 1285272963 | Theophilus Nikia Williams | Counselor | 3521 W 54th St, Cleveland, OH 44102-5709 | 2019-12-13 |
| 1467098822 | Jordan Community Residential | Counselor | 2231 N Taylor Rd, Cleveland, OH 44112-3044 | 2019-11-20 |
| 1285275529 | Anchor Warrior Center | Counselor | 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 | 2019-10-07 |
| Find all providers in CLEVELAND | ||||
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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.