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CONNIE CLARK
NPI 1528489002
Counselor - Mental Health in Jacksonville, FL

Active since December 30, 2013
620 WELLHOUSE DR, JACKSONVILLE, FL 32220(904) 222-1784(904) 253-3001 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connie Clark NPPES

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

CONNIE CLARK (NPI 1528489002) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1528489002
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCONNIE CLARK
Location Address620 WELLHOUSE DRJacksonville, FL 32220-1367
Mailing Address620 Wellhouse DrJacksonville, FL 32220-1367 · (904) 222-1784 · Fax (904) 253-3001
Phone(904) 222-1784
Fax(904) 253-3001
Sole ProprietorNo
Enumeration DateDecember 30, 2013
✔ NPI 1528489002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
620 WELLHOUSE DR, Jacksonville, FL 32220
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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 Connie Clark's NPI number?

The NPI number for Connie Clark is 1528489002. It was assigned to this individual provider in the NPPES registry on December 30, 2013.

Where is Connie Clark located?

Connie Clark practices at 620 Wellhouse Dr, Jacksonville, FL 32220. The listed phone number is (904) 222-1784.

What is Connie 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 Connie Clark was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.