MALLORIE MARIE CLARK
NPI 1144037748
Peer Specialist in Knoxville, TN
- Individual
- Female
- Peer Specialist
About MALLORIE CLARK
This page provides the complete NPI Profile along with additional information for Mallorie Clark, a provider established in Knoxville, Tennessee with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1144037748 assigned on December 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1144037748 Verify this NPI
- Provider Name
- MALLORIE MARIE CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2018 WESTERN AVE KNOXVILLE, TN 37921
- Location Phone
- (865) 544-0406
- Location Fax
- (865) 544-0480
- Mailing Address
- 1923 SULPHUR SPRINGS RD MORRISTOWN, TN 37813
- Mailing Phone
- (423) 317-9344
- Mailing Fax
- (423) 714-2355
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-17-2024
- Last Update Date
- 12-17-2024
- 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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KNOXVILLE, TN 37921
KNOXVILLE, TN 37921
KNOXVILLE, TN 37921
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144037748, enumerated as an "individual" on December 17, 2024.
The provider is located at 2018 WESTERN AVE KNOXVILLE, TN 37921 and the phone number is (865) 544-0406.
Peer Specialist with taxonomy code 175T00000X.
