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TAVARAES LASHUN CLARK JR.
NPI 1659839876
Counselor in Columbus, MS

Active since March 06, 2019
428 24TH AVE N, COLUMBUS, MS 39705(662) 241-7097 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tavaraes Lashun Clark Jr. NPPES

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

TAVARAES LASHUN CLARK JR. (NPI 1659839876) is an individual counselor in Columbus, Mississippi and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1659839876
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTAVARAES LASHUN CLARK JR.
Location Address428 24TH AVE NColumbus, MS 39705-1945
Mailing Address860 E River Pl Ste 100Jackson, MS 39202-3442
Phone(662) 241-7097
Sole ProprietorNo
Enumeration DateMarch 6, 2019
✔ NPI 1659839876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
428 24TH AVE N, Columbus, MS 39705
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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.

MRS. BRITTANY LEE BOWEN FNP-BC
Nurse Practitioner (Family)
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 265-3020
SHANTA NEWBY
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
TITUS LATHAM
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
MS. DAZSHEA TRINNA PETTY CPSS
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
CASSANDRA ROSHELL MCNEESE PCAT, MS, MSW
Social Worker
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
RUBY F WRIGHT
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
BRYSON DAVID BAREFOOT
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097
KEIARA JIMISON
Counselor
428 24TH AVE N
COLUMBUS, MS 39705
Lowndes County (662) 241-7097

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 Tavaraes Clark's NPI number?

The NPI number for Tavaraes Clark is 1659839876. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Tavaraes Clark located?

Tavaraes Clark practices at 428 24th Ave N, Columbus, MS 39705. The listed phone number is (662) 241-7097.

What is Tavaraes Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tavaraes Clark was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.