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KIMBERLY DEYONNE CLARK CMHT
NPI 1407544604
Counselor - Mental Health in Meridian, MS

Active since April 26, 2023
2803 OLD NORTH HILLS ST, MERIDIAN, MS 39305(601) 435-2919(601) 286-5054 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Deyonne Clark Cmht NPPES

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

KIMBERLY DEYONNE CLARK CMHT (NPI 1407544604) is an individual mental health provider in Meridian, Mississippi and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1407544604
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY DEYONNE CLARKCredential: CMHT
Location Address2803 OLD NORTH HILLS STMeridian, MS 39305-1630
Mailing Address2803 Old North Hills StMeridian, MS 39305-1630 · (601) 435-2919 · Fax (601) 286-5054
Phone(601) 435-2919
Fax(601) 286-5054
Sole ProprietorYes
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1407544604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2803 OLD NORTH HILLS ST, Meridian, MS 39305
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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.

LEROY COLEMAN
Counselor (Professional)
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
BRIERRA KEYONNA SMITH
Social Worker
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
MRS. JASMINE N COLLINS
Counselor
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
CAMESHA MCKINNIS
Counselor (Mental Health)
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 490-5044
ANNITNETTE MCGILL
Counselor
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
MRS. CASEY SPRINGER
Counselor
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
TYRIKIA NICHOLLE PORTER
Counselor
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919
BRYCELIN ARMSTRONG
Social Worker
2803 OLD NORTH HILLS ST
MERIDIAN, MS 39305
Lauderdale County (601) 453-2919

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 Kimberly Clark's NPI number?

The NPI number for Kimberly Clark is 1407544604. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Kimberly Clark located?

Kimberly Clark practices at 2803 Old North Hills St, Meridian, MS 39305. The listed phone number is (601) 435-2919.

What is Kimberly 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 Kimberly Clark was last updated on April 26, 2023. 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.