MR. SAMUEL P. CLARK LMH
NPI 1265742001
Counselor - Mental Health in Gainesville, FL

Active since October 14, 2010
1218 NW 6TH STREET, GAINESVILLE, FL 32601(352) 244-0628(352) 334-3817 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Samuel P. Clark Lmh NPPES

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

MR. SAMUEL P. CLARK LMH (NPI 1265742001) is an individual mental health provider in Gainesville, Florida, licensed in Florida (MH820) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1265742001
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SAMUEL P. CLARKCredential: LMH
Location Address1218 NW 6TH STREETGainesville, FL 32601
Mailing Address16243 Sw 143rd AveArcher, FL 32618-4778 · (352) 244-0628 · Fax (352) 334-3817
Fax(352) 334-3817
Sole ProprietorYes
Enumeration DateOctober 14, 2010
NPI 1265742001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH820
Also ListedCounselorTaxonomy 101Y00000X · License MH820 (FL)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MH820 (FL)
1218 NW 6TH STREET, Gainesville, FL 32601

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 Samuel Clark's NPI number?

The NPI number for Samuel Clark is 1265742001. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Samuel Clark located?

Samuel Clark practices at 1218 NW 6th Street, Gainesville, FL 32601. The listed phone number is (352) 244-0628.

What is Samuel 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 Samuel Clark was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.