RICHARD C CLARK III MDCAC
NPI 1285866079
Counselor - Addiction (Substance Use Disorder) in Hattiesburg, MS

Q: What is Richard Clark's NPI number?

The NPI number for Richard Clark is 1285866079. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Q: What is Richard Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Richard Clark was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 13, 2009

800 PINEVIEW DR, HATTIESBURG, MS 39401(601) 705-1901 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Richard C Clark Iii Mdcac NPPES

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

RICHARD C CLARK III MDCAC (NPI 1285866079) is an individual addiction (substance use disorder) provider in Hattiesburg, Mississippi, licensed in Mississippi (AD97-012C) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1285866079

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameRICHARD C CLARK IIICredential: MDCAC

Location Address800 PINEVIEW DRHattiesburg, MS 39401-7459

Mailing Address800 Pineview DrHattiesburg, MS 39401-7459 · (601) 705-1901

Phone(601) 705-1901

Sole ProprietorNo

Enumeration DateAugust 13, 2009

✔ NPI 1285866079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MS · AD97-012C

800 PINEVIEW DR, Hattiesburg, MS 39401

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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 Richard Clark's NPI number?

The NPI number for Richard Clark is 1285866079. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Richard Clark located?

Richard Clark practices at 800 Pineview Dr, Hattiesburg, MS 39401. The listed phone number is (601) 705-1901.

What is Richard Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Richard Clark was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.