William Randolph Clark in Dallas - Counselor
William Randolph Clark - NPI 1588854236
William Randolph Clark is a Counselor in Dallas, Texas. William Randolph Clark practices all healthcare services and medical treatments related to Counselor. The NPI Number for William Randolph Clark is 1588854236. The last update date is 2011-06-20.
William Randolph Clark's current location address is 12880 Hillcrest Rd, Dallas, Texas. You can contact this provider via phone number 2147299396 and fax number 9723850711. The mailing address for William Randolph Clark is 12880 Hillcrest Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Randolph Clark |
|---|---|
| Address | 12880 Hillcrest Rd, Dallas, Texas |
| Phone Number | 2147299396 |
| Fax Number | 9723850711 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1588854236 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2011-06-20 |
Provider Mailing Address Detail
| Address | 12880 Hillcrest Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752301532 |
| Phone Number | 2147299396 |
| Fax Number | 9723850711 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 61784 |
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Definition: 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 supe |
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What is the unique 10-digit identification code assigned to William Randolph Clark by the Centers for Medicare & Medicaid Services?
The William Randolph Clark has been issued the NPI (National Provider Identifier) 1588854236, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of William Randolph Clark?
The William Randolph Clark is physically situated at 12880 Hillcrest Rd, in the city of Dallas, state of TX, with the postal code 752301532.
What is the area of specialization for William Randolph Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for William Randolph Clark is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the William Randolph Clark receive its 1588854236 assignment from the Centers for Medicare & Medicaid Services?
The William Randolph Clark was assigned its 1588854236 by the Centers for Medicare & Medicaid Services on 2007-07-30.
When was the information regarding William Randolph Clark most recently updated?
The details pertaining to the William Randolph Clark, including its address, specialty, and other relevant information, were last refreshed on 2011-06-20.