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Erin Elizabeth Ann Clark, LAC

Counselor, Mental Health in Clarksville, AR. Individual provider (NPI-1).

NPI number1750122099
StatusActive
Last updated in NPPESJun 3, 2024

Details

NPI
1750122099
Entity type
Individual (NPI-1)
Name
Erin Elizabeth Ann Clark
Credential
LAC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2024
Certification date
Jun 2, 2024
Last updated
Jun 3, 2024

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 codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthA2402001ARYes

Practice location

1157 S Rogers St
Clarksville, AR 72830-9158

Phone 479-705-0118

Mailing address

504 Rock St
Dardanelle, AR 72834-3403

Phone 479-477-0739

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 Clarksville, AR

All 16 Mental Health Counselor providers in Clarksville · All 623 providers in Clarksville

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