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MATTIE CLARK LIFESTYLE COACH
NPI 1558134759
Health and Wellness Coach in Canton, MS

Active since October 31, 2023
1668 W PEACE ST, CANTON, MS 39046(601) 859-5213(601) 859-8771 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mattie Clark Lifestyle Coach NPPES

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

MATTIE CLARK LIFESTYLE COACH (NPI 1558134759) is an individual health and wellness coach provider in Canton, Mississippi and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1558134759
Entity TypeIndividualFemale
Primary Taxonomy171400000X
Provider Legal NameMATTIE CLARKCredential: LIFESTYLE COACH
Location Address1668 W PEACE STCanton, MS 39046-5332
Mailing Address1668 W Peace StCanton, MS 39046-5332 · (601) 859-5213 · Fax (601) 859-8771
Phone(601) 859-5213
Fax(601) 859-8771
Sole ProprietorNo
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1558134759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
1668 W PEACE ST, Canton, MS 39046
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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.

KIM'EIKA CROSBY LIFESTYLE COACH
Health and Wellness Coach
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
G A CARMICHAEL FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
RANDY S LOVE DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
CHRIS FIELDS
Clinical Exercise Physiologist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 329-5751
ANGELA JONES-STEWART FNP-C
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
DENESSA V POTTS DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
SHAMEKKA NICOLETTE SKINNER
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
STEPHANIE TERRY CFNP
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213

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 Mattie Clark's NPI number?

The NPI number for Mattie Clark is 1558134759. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Mattie Clark located?

Mattie Clark practices at 1668 W Peace St, Canton, MS 39046. The listed phone number is (601) 859-5213.

What is Mattie Clark's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Mattie Clark was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.