MANDI CLARK
NPI 1437921616
Counselor - Mental Health in Prestonsburg, KY

The NPI number for Mandi Clark is 1437921616. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

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

The NPPES record for Mandi Clark was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2023

104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mandi Clark NPPES

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

MANDI CLARK (NPI 1437921616) is an individual mental health provider in Prestonsburg, Kentucky and active in the NPI registry since October 2023.

NPI1437921616

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMANDI CLARK

Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614

Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433

Fax(606) 886-4433

Sole ProprietorYes

Enumeration DateOctober 23, 2023

NPPES CertifiedOctober 23, 2023

✔ NPI 1437921616 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

104 S FRONT AVE, Prestonsburg, KY 41653

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

Counselor (Professional)