1. Home
  2. Directory
  3. Florida
  4. Palm Bay
  5. Counselor
  6. NPI Profile

NANETTE SEBRENA CLARK
NPI 1053049841
Counselor - Mental Health in Palm Bay, FL

Active since August 10, 2022
1550 ORANGE BLOSSOM TRL NE, PALM BAY, FL 32905(321) 698-2366 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nanette Sebrena Clark NPPES

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

NANETTE SEBRENA CLARK (NPI 1053049841) is an individual mental health provider in Palm Bay, Florida, licensed in Florida (MH20776) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1053049841
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNANETTE SEBRENA CLARK
Location Address1550 ORANGE BLOSSOM TRL NEPalm Bay, FL 32905-3632
Mailing Address1550 Orange Blossom Trl NePalm Bay, FL 32905-3632 · (321) 698-2366
Phone(321) 698-2366
Sole ProprietorYes
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1053049841 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 FL · MH20776
1550 ORANGE BLOSSOM TRL NE, Palm Bay, FL 32905
Open in Google Maps ↗

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 Nanette Clark's NPI number?

The NPI number for Nanette Clark is 1053049841. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Nanette Clark located?

Nanette Clark practices at 1550 Orange Blossom Trl NE, Palm Bay, FL 32905. The listed phone number is (321) 698-2366.

What is Nanette 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 Nanette Clark was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.