MADISYN SYNCLAIRE CLARK
NPI 1023746955
Counselor in Los Angeles, CA
- Individual
- Female
- Counselor
About MADISYN CLARK
This page provides the complete NPI Profile along with additional information for Madisyn Clark, a provider established in Los Angeles, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1023746955 assigned on August 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1023746955 Verify this NPI
- Provider Name
- MADISYN SYNCLAIRE CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5811 S SAN PEDRO ST LOS ANGELES, CA 90011
- Location Phone
- (323) 234-4445
- Location Fax
- (323) 234-4477
- Mailing Address
- 5811 S SAN PEDRO ST LOS ANGELES, CA 90011
- Mailing Phone
- (323) 234-4445
- Mailing Fax
- (323) 234-4477
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-09-2022
- Last Update Date
- 08-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
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LOS ANGELES, CA 90011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023746955, enumerated as an "individual" on August 09, 2022.
The provider is located at 5811 S SAN PEDRO ST LOS ANGELES, CA 90011 and the phone number is (323) 234-4445.
Counselor with taxonomy code 101Y00000X.