REONEE SHANTA CLARK
NPI 1780287797
Counselor in Columbus, MS
- Individual
- Female
- Counselor
About REONEE CLARK
This page provides the complete NPI Profile along with additional information for Reonee Clark, a provider established in Columbus, Mississippi with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1780287797 assigned on November 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1780287797 Verify this NPI
- Provider Name
- REONEE SHANTA CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2623 5TH ST N COLUMBUS, MS 39705
- Location Phone
- (662) 241-7097
- Mailing Address
- 860 E RIVER PL STE 100 JACKSON, MS 39202
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-20-2020
- Last Update Date
- 11-20-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780287797, enumerated as an "individual" on November 20, 2020.
The provider is located at 2623 5TH ST N COLUMBUS, MS 39705 and the phone number is (662) 241-7097.
Counselor with taxonomy code 101Y00000X.
