MRS. SHIRMA PRESCOTT-CLARK LPC
NPI 1609448737
Counselor - Professional in Marietta, GA
Active since July 16, 2021
About Mrs. Shirma Prescott-clark Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHIRMA PRESCOTT-CLARK LPC (NPI 1609448737) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC012026) and active in the NPI registry since July 2021.
NPPES Registry Identity
NPI1609448737
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHIRMA PRESCOTT-CLARKCredential: LPC
Location Address3629 NATURE WALK TRL SWMarietta, GA 30060-7536
Mailing Address3629 Nature Walk Trl SwMarietta, GA 30060-7536 · (404) 414-9444
Phone(404) 414-9444
Sole ProprietorYes
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1609448737 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC012026
3629 NATURE WALK TRL SW, Marietta, GA 30060
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609448737, enumerated as an "individual" on July 16, 2021.
The provider is located at 3629 NATURE WALK TRL SW MARIETTA, GA 30060 and the phone number is (404) 414-9444.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
