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MISS KELLY CLARK
NPI 1942605852
Counselor - Mental Health in Booneville, MS

Active since November 04, 2014
2301 E CHAMBERS DR, BOONEVILLE, MS 38829(662) 728-3154 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Kelly Clark NPPES

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

MISS KELLY CLARK (NPI 1942605852) is an individual mental health provider in Booneville, Mississippi, licensed in Mississippi (BS DEGREE) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1942605852
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KELLY CLARK
Location Address2301 E CHAMBERS DRBooneville, MS 38829-8903
Mailing Address2301 E Chambers DrBooneville, MS 38829-8903 · (662) 728-3154
Phone(662) 728-3154
Sole ProprietorYes
Enumeration DateNovember 4, 2014
✔ NPI 1942605852 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 MS · BS DEGREE
2301 E CHAMBERS DR, Booneville, MS 38829
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Other Providers at the Same Location NPPES

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

MRS. LYDIA JACKSON LOVELL CRNP
Nurse Practitioner (Family)
2301 E CHAMBERS DR
BOONEVILLE, MS 38829
Prentiss County (662) 720-4816

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 Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1942605852. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Kelly Clark located?

Kelly Clark practices at 2301 E Chambers Dr, Booneville, MS 38829. The listed phone number is (662) 728-3154.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on November 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.