MICHELLE THERESA CLARK LMHC
NPI 1265575674
Counselor - Mental Health in Raynham, MA
Active since February 15, 2007
About Michelle Theresa Clark Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE THERESA CLARK LMHC (NPI 1265575674) is an individual mental health provider in Raynham, Massachusetts, licensed in Massachusetts (LMHC 910) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1265575674
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE THERESA CLARKCredential: LMHC
Location Address10 COMMERCE WAYRaynham, MA 02767-1071
Mailing AddressPo Box 872Raynham Center, MA 02768-0872 · (508) 208-7561
Phone(508) 208-7561
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265575674 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 MA · LMHC 910
10 COMMERCE WAY, Raynham, MA 02767
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265575674, enumerated as an "individual" on February 15, 2007.
The provider is located at 10 COMMERCE WAY RAYNHAM, MA 02767 and the phone number is (508) 208-7561.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
