TINA MICHELLE CLARK
NPI 1104030899
Counselor - Mental Health in Chehalis, WA

Active since May 10, 2007
135 W MAIN ST, CHEHALIS, WA 98532(360) 748-6696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Michelle Clark NPPES

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

TINA MICHELLE CLARK (NPI 1104030899) is an individual mental health provider in Chehalis, Washington, licensed in Washington (RC00049995) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104030899
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA MICHELLE CLARK
Location Address135 W MAIN STChehalis, WA 98532-4817
Mailing Address1313 Ferrier RdWinlock, WA 98596-9330
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104030899 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 WA · RC00049995
135 W MAIN ST, Chehalis, WA 98532

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.

Counselor
135 W MAIN ST
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
135 W MAIN ST
CHEHALIS, WA 98532
Counselor
135 W MAIN ST
CHEHALIS, WA 98532
Nurse Practitioner (Psychiatric/Mental Health)
135 W MAIN ST
CHEHALIS, WA 98532
Registered Nurse (Psychiatric/Mental Health)
135 W MAIN ST
CHEHALIS, WA 98532
Counselor (Mental Health)
135 W MAIN ST
CHEHALIS, WA 98532
Marriage & Family Therapist
135 W MAIN ST
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
135 W MAIN ST
CHEHALIS, WA 98532

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 Tina Clark's NPI number?

The NPI number for Tina Clark is 1104030899. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Tina Clark located?

Tina Clark practices at 135 W Main St, Chehalis, WA 98532. The listed phone number is (360) 748-6696.

What is Tina 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 Tina Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.