DR. WILLIAM DAVE CLARK PH.D.
NPI 1023274503
Counselor - Mental Health in Ellerslie, GA

Q: What is William Clark's NPI number?

The NPI number for William Clark is 1023274503. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is William Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for William Clark was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2008

1421 OSSAHATCHIE CREEK RD, ELLERSLIE, GA 31807(561) 319-0625 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. William Dave Clark Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM DAVE CLARK PH.D. (NPI 1023274503) is an individual mental health provider in Ellerslie, Georgia, licensed in Georgia (LPC001112) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1023274503

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDR. WILLIAM DAVE CLARKCredential: PH.D.

Location Address1421 OSSAHATCHIE CREEK RDEllerslie, GA 31807-5339

Mailing Address1421 Ossahatchie Creek RdEllerslie, GA 31807-5339 · (561) 319-0625

Phone(561) 319-0625

Sole ProprietorYes

Enumeration DateAugust 4, 2008

✔ NPI 1023274503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC001112

1421 OSSAHATCHIE CREEK RD, Ellerslie, GA 31807

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Clark's NPI number?

The NPI number for William Clark is 1023274503. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is William Clark located?

William Clark practices at 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807. The listed phone number is (561) 319-0625.

What is William Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for William Clark was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.