MADISON CLARK
NPI 1841645389
Marriage & Family Therapist in Roswell, GA

Q: What is Madison Clark's NPI number?

The NPI number for Madison Clark is 1841645389. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Q: What is Madison Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Clark was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 03, 2016

11615 NORTHGATE TRL, ROSWELL, GA 30075(678) 643-5421 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Madison Clark NPPES

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

MADISON CLARK (NPI 1841645389) is an individual marriage & family therapist in Roswell, Georgia and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1841645389

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMADISON CLARK

Location Address11615 NORTHGATE TRLRoswell, GA 30075-2335

Mailing Address11615 Northgate TrlRoswell, GA 30075-2335

Phone(678) 643-5421

Sole ProprietorYes

Enumeration DateMay 3, 2016

✔ NPI 1841645389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

11615 NORTHGATE TRL, Roswell, GA 30075

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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 Madison Clark's NPI number?

The NPI number for Madison Clark is 1841645389. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Madison Clark located?

Madison Clark practices at 11615 Northgate Trl, Roswell, GA 30075. The listed phone number is (678) 643-5421.

What is Madison Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Madison Clark was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.