LISA CLARK ENTERPRISES, INC
NPI 1801022413
Psychologist - Clinical in Decatur, GA

Active since June 09, 2009
2785 LAWRENCEVILLE HWY STE 207, DECATUR, GA 30033(678) 519-1038(678) 239-4720 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Clark Enterprises, Inc NPPES

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

LISA CLARK ENTERPRISES, INC (NPI 1801022413) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since June 2009. The organization lists Lisa Clark, Ceo/president/owner, as its authorized official.

NPPES Registry Identity

NPI1801022413
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLISA CLARK ENTERPRISES, INC
Location Address2785 LAWRENCEVILLE HWY STE 207Decatur, GA 30033-2515
Mailing Address2309 Norbury Cv SeSmyrna, GA 30080-5206 · (678) 519-1038 · Fax (678) 239-4720
Fax(678) 239-4720
Organization SubpartNo
Authorized OfficialLisa ClarkCeo/president/owner · (404) 276-3037
Enumeration DateJune 9, 2009
Last NPPES UpdateFebruary 26, 2018
NPI 1801022413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY002509
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2785 LAWRENCEVILLE HWY STE 207, Decatur, GA 30033

Other Identifiers 1

Medicaid000910929OGA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2785 LAWRENCEVILLE HWY STE 207
DECATUR, GA 30033

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 Lisa Clark Enterprises, Inc's NPI number?

The NPI number for Lisa Clark Enterprises, Inc is 1801022413. It was assigned to this organization in the NPPES registry on June 9, 2009.

Where is Lisa Clark Enterprises, Inc located?

Lisa Clark Enterprises, Inc is located at 2785 Lawrenceville Hwy Ste 207, Decatur, GA 30033. The listed phone number is (678) 519-1038.

What is Lisa Clark Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lisa Clark Enterprises, Inc was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.