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MR. ERIC VINCESON CLARK JR. MHS
NPI 1053786194
Counselor - Mental Health in Shreveport, LA

Active since December 01, 2015
404 HEARNE AVE, SHREVEPORT, LA 71103(318) 716-1369(318) 675-0120 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 20, 2018, Dec 1, 2015 (3 updates tracked since 2015).

About Mr. Eric Vinceson Clark Jr. Mhs NPPES

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

MR. ERIC VINCESON CLARK JR. MHS (NPI 1053786194) is an individual mental health provider in Shreveport, Louisiana, licensed in Louisiana (008573370) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1053786194
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ERIC VINCESON CLARK JR.Credential: MHS
Location Address404 HEARNE AVEShreveport, LA 71103
Mailing Address404 Hearne AveShreveport, LA 71103-2022 · (318) 716-1369 · Fax (318) 675-0120
Phone(318) 716-1369
Fax(318) 675-0120
Sole ProprietorYes
Enumeration DateDecember 1, 2015
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
✔ NPI 1053786194 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 LA · 008573370
404 HEARNE AVE, Shreveport, LA 71103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY PLAYER
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
JAMES FORD MHS
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
DANIELLE HARRIS MHS
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
MARRICO WILSON
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
SHETWAN LYNETTE ROBERISON
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
LAMAR MILES MPH
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
DERRICK LUDLEY MHP
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
MR. FRANKLIN LYONS MHS
Clinic/Center (Mental Health (Including Community Mental Health Center))
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369

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 Eric Clark's NPI number?

The NPI number for Eric Clark is 1053786194. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Eric Clark located?

Eric Clark practices at 404 Hearne Ave, Shreveport, LA 71103. The listed phone number is (318) 716-1369.

What is Eric 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 Eric Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.