BROOKLYN N CLARK APSS
NPI 1275272940
Peer Specialist in Lexington, KY
- Individual
- Female
- Peer Specialist
About BROOKLYN CLARK
This page provides the complete NPI Profile along with additional information for Brooklyn Clark, a provider established in Lexington, Kentucky with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1275272940 assigned on June 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago. Brooklyn Clark operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1275272940 Verify this NPI
- Provider Name
- BROOKLYN N CLARK APSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 561 BREKENRIDGE STREET 202 LEXINGTON, KY 40508
- Location Phone
- (859) 317-3171
- Mailing Address
- 521 BIG BEAR LN LEXINGTON, KY 40517
- Mailing Phone
- (859) 317-3171
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-01-2022
- Last Update Date
- 06-01-2022
- Code Navigator
Location Map
Secondary Locations
- 521 Big Bear Ln
Lexington, KY 40517
(859) 317-3171
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
- License State
- KY
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275272940, enumerated as an "individual" on June 01, 2022.
The provider is located at 561 BREKENRIDGE STREET 202 LEXINGTON, KY 40508 and the phone number is (859) 317-3171.
Peer Specialist with taxonomy code 175T00000X.