Annie Clark
Counselor, Mental Health in Newellton, LA. Individual provider (NPI-1).
NPI number1427423979
StatusActive
Last updated in NPPESDec 9, 2015
Details
- NPI
- 1427423979
- Entity type
- Individual (NPI-1)
- Name
- Annie Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2015
- Last updated
- Dec 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | LA | Yes |
Practice location
118 Hwy 605Newellton, LA 71357
Phone 318-467-2399 · Fax 318-467-2400
Mailing address
118 Hwy 605Newellton, LA 71357
Phone 318-467-2399 · Fax 318-467-2400
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in Newellton, LA
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