C CLARK LLC
NPI 1316664006
Counselor - Mental Health in Nashville, TN

Q: What is C Clark LLC's NPI number?

The NPI number for C Clark LLC is 1316664006. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is doing business as Brain Domain, LLC.

Q: What is C Clark LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for C Clark LLC was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 24, 2022

210 25TH AVE NORTH, SUITE 601, ROOM 13, NASHVILLE, TN 37203(615) 337-8709 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About C Clark Llc NPPES

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

C CLARK LLC (NPI 1316664006), doing business as Brain Domain, Llc, is a healthcare organization registered as a mental health in Nashville, Tennessee and active in the NPI registry since October 2022. The organization lists Chanella Latre Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1316664006

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameC CLARK LLC

Location Address210 25TH AVE NORTH, SUITE 601, ROOM 13Nashville, TN 37203

Mailing Address1515 5th Ave N Apt 204Nashville, TN 37208-2798 · (615) 337-8709

Phone(615) 337-8709

Organization SubpartNo

Authorized OfficialChanella Latre ClarkOwner · (615) 337-8709

Enumeration DateOctober 24, 2022

NPPES CertifiedOctober 24, 2022

✔ NPI 1316664006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

210 25TH AVE NORTH, Nashville, TN 37203

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Other Names 1

Doing Business AsBrain Domain, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. DENNIS DRAKE WELLING I PT

Physical Therapist

210 25TH AVE NORTH, 520
NASHVILLE, TN 37203

Davidson County (615) 321-3215

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 C Clark LLC's NPI number?

The NPI number for C Clark LLC is 1316664006. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is doing business as Brain Domain, LLC.

Where is C Clark LLC located?

C Clark LLC is located at 210 25th Ave North Suite 601, Room 13, Nashville, TN 37203. The listed phone number is (615) 337-8709.

What is C Clark LLC'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 C Clark LLC was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.