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ERIC VINCESON CLARK SR.
NPI 1588194583
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

Active since June 13, 2017
404 HEARNE AVE, SHREVEPORT, LA 71103(318) 716-1369(318) 675-0120 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Eric Vinceson Clark Sr. NPPES

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

ERIC VINCESON CLARK SR. (NPI 1588194583) is an individual mental health (including community mental health center) provider in Shreveport, Louisiana and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1588194583
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameERIC VINCESON CLARK SR.
Location Address404 HEARNE AVEShreveport, LA 71103-2022
Mailing Address404 Hearne AveShreveport, LA 71103-2022 · (318) 716-1369 · Fax (318) 675-0120
Phone(318) 716-1369
Fax(318) 675-0120
Sole ProprietorYes
Enumeration DateJune 13, 2017
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1588194583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
404 HEARNE AVE, Shreveport, LA 71103
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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.

AUDREY PLAYER
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
JAMES FORD MHS
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
DANIELLE HARRIS MHS
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
MARRICO WILSON
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
MR. ERIC VINCESON CLARK JR. MHS
Counselor (Mental Health)
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
SHETWAN LYNETTE ROBERISON
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
LAMAR MILES MPH
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369
DERRICK LUDLEY MHP
Case Manager/Care Coordinator
404 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 716-1369

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 Eric Clark's NPI number?

The NPI number for Eric Clark is 1588194583. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Eric Clark located?

Eric Clark practices at 404 Hearne Ave, Shreveport, LA 71103. The listed phone number is (318) 716-1369.

What is Eric Clark's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eric Clark was last updated on June 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.