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TAYLOR CLARK LPC
NPI 1104546753
Counselor - Professional in San Antonio, TX

Active since September 01, 2022
4211 GARDENDALE ST STE 104A, SAN ANTONIO, TX 78229(903) 952-1201 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taylor Clark Lpc NPPES

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

TAYLOR CLARK LPC (NPI 1104546753) is an individual professional provider in San Antonio, Texas, licensed in Texas (83790) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1104546753
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAYLOR CLARKCredential: LPC
Location Address4211 GARDENDALE ST STE 104ASan Antonio, TX 78229-3143
Mailing Address7711 Callaghan Rd Apt 501San Antonio, TX 78229-2331 · (903) 952-1201
Phone(903) 952-1201
Sole ProprietorYes
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1104546753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 83790
4211 GARDENDALE ST STE 104A, San Antonio, TX 78229
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Taylor Clark's NPI number?

The NPI number for Taylor Clark is 1104546753. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Taylor Clark located?

Taylor Clark practices at 4211 Gardendale St Ste 104A, San Antonio, TX 78229. The listed phone number is (903) 952-1201.

What is Taylor Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Taylor Clark was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.