MONIQUE ALTERISS CLARK QMHP
NPI 1760184303
Counselor - Mental Health in Petersburg, VA
Active since March 20, 2023
About Monique Alteriss Clark Qmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIQUE ALTERISS CLARK QMHP (NPI 1760184303) is an individual mental health provider in Petersburg, Virginia, licensed in Virginia (0733004653) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1760184303
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMONIQUE ALTERISS CLARKCredential: QMHP
Location Address132 N SYCAMORE ST # 27Petersburg, VA 23803-3262
Mailing Address3707 Pennyweight CtNorth Chesterfield, VA 23237-1977 · (804) 955-7134
Phone(804) 955-7332
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1760184303 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0733004653
132 N SYCAMORE ST # 27, Petersburg, VA 23803
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760184303, enumerated as an "individual" on March 20, 2023.
The provider is located at 132 N SYCAMORE ST # 27 PETERSBURG, VA 23803 and the phone number is (804) 955-7332.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
