Gwendolyn D Clark in Wilmington - Mental Health
Gwendolyn D Clark - NPI 1588620538
Gwendolyn D Clark is a Mental Health in Wilmington, North Carolina. Gwendolyn D Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gwendolyn D Clark is 1588620538. The last update date is 2010-03-11.
Gwendolyn D Clark's current location address is 218 Holiday Hills Dr, Wilmington, North Carolina. You can contact this provider via phone number 9106120782. The mailing address for Gwendolyn D Clark is 218 Holiday Hills Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn D Clark |
|---|---|
| Address | 218 Holiday Hills Dr, Wilmington, North Carolina |
| Phone Number | 9106120782 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588620538 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2010-03-11 |
Provider Mailing Address Detail
| Address | 218 Holiday Hills Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284093514 |
| Phone Number | 9106120782 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C002055 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106158 | NC | -- | |
| 1312U | NC | BCBS # | |
| C002055 | NC | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gwendolyn D Clark by the Centers for Medicare & Medicaid Services?
The Gwendolyn D Clark has been assigned the NPI (National Provider Identifier) 1588620538 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gwendolyn D Clark is geographically located?
The Gwendolyn D Clark is physically situated at the following location: 218 Holiday Hills Dr, Wilmington, NC, 284093514.
What is Gwendolyn D Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gwendolyn D Clark is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When did the Gwendolyn D Clark receive its 1588620538?
The Gwendolyn D Clark was issued its 1588620538 on 2006-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Gwendolyn D Clark's details last updated?
The information pertaining to the Gwendolyn D Clark, including its address, specialty, and other details, was most recently updated on 2010-03-11.