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TINA MARIE CLARK FSP
NPI 1871000877
Peer Specialist in Idabel, OK

Active since December 29, 2017
411 S CENTRAL AVE, IDABEL, OK 74745(580) 286-5045(580) 286-5721 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Marie Clark Fsp NPPES

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

TINA MARIE CLARK FSP (NPI 1871000877) is an individual peer specialist in Idabel, Oklahoma and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1871000877
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTINA MARIE CLARKCredential: FSP
Location Address411 S CENTRAL AVEIdabel, OK 74745-6059
Mailing AddressPo Box 1030Antlers, OK 74523-1030 · (580) 298-2830 · Fax (580) 298-6723
Phone(580) 286-5045
Fax(580) 286-5721
Sole ProprietorNo
Enumeration DateDecember 29, 2017
✔ NPI 1871000877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

411 S CENTRAL AVE, Idabel, OK 74745
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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.

BARBARA SHARON LUMSDEN LPC, LADC, MBS
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
DERREL LEVY
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5721
ANGELA WILLIAMS-SMITH
Psychologist (Rehabilitation)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-1092
GEORGE DONALD HASLAM SR.
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
DEBORAH CROWE
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
KELLI BRUMLEY
Counselor
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
SEQUELCARE OF OKLAHOMA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5721
SEQUELCARE OF OKLAHOMA, LLC
Case Management
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045

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 Tina Clark's NPI number?

The NPI number for Tina Clark is 1871000877. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Tina Clark located?

Tina Clark practices at 411 S Central Ave, Idabel, OK 74745. The listed phone number is (580) 286-5045.

What is Tina Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tina Clark was last updated on December 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.