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CHRISTOPHER CLARK
NPI 1306415666
Counselor - Mental Health in Brandon, MS

Active since June 22, 2021
613 MARQUETTE RD, BRANDON, MS 39042(601) 825-8800 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christopher Clark NPPES

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

CHRISTOPHER CLARK (NPI 1306415666) is an individual mental health provider in Brandon, Mississippi and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1306415666
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTOPHER CLARK
Location Address613 MARQUETTE RDBrandon, MS 39042-3038
Mailing Address613 Marquette RdBrandon, MS 39042-3038 · (601) 825-8800
Phone(601) 825-8800
Sole ProprietorNo
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1306415666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
613 MARQUETTE RD, Brandon, MS 39042
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY NICOLE NEWSOME BYRD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342
EMILY LEE
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
SKY D DAVENPORT
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
TOMEKA LAFAWN BETHEA
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
BELINDA DAVIS
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
MELLANI MARITZA WALLACE
Counselor
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 591-5553
TALISA M COX
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-1692
TAMEIKA M SMITH THERAPIST
Occupational Therapist (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Rankin County (601) 824-0342

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 Christopher Clark's NPI number?

The NPI number for Christopher Clark is 1306415666. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Christopher Clark located?

Christopher Clark practices at 613 Marquette Rd, Brandon, MS 39042. The listed phone number is (601) 825-8800.

What is Christopher 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 Christopher Clark was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.