John Randolph Clark in Benbrook - Mental Health
John Randolph Clark - NPI 1588786529
John Randolph Clark is a Mental Health in Benbrook, Texas. John Randolph Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John Randolph Clark is 1588786529. The last update date is 2012-01-05.
John Randolph Clark's current location address is 8100 Herndon Dr, Benbrook, Texas. You can contact this provider via phone number 8173043261. The mailing address for John Randolph Clark is 8100 Herndon Dr, Benbrook, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Randolph Clark |
|---|---|
| Address | 8100 Herndon Dr, Benbrook, Texas |
| Phone Number | 8173043261 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1588786529 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 8100 Herndon Dr |
|---|---|
| City | Benbrook |
| State | Texas (TX) |
| Post Code | 761168539 |
| Phone Number | 8173043261 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 17980 |
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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 |
|---|---|---|---|
| 1620460 | TX | -- |
Post Comment/ Review Below
What is the John Randolph Clark's unique identification number?
The John Randolph Clark has been assigned the NPI (National Provider Identifier) Number 1588786529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John Randolph Clark?
The John Randolph Clark is physically situated at 8100 Herndon Dr, in the city of Benbrook, state of TX, with the postal code 761168539.
What is John Randolph Clark's area of expertise and its corresponding taxonomy classification?
The John Randolph Clark's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1588786529 to John Randolph Clark?
The John Randolph Clark received its 1588786529 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date was the information regarding John Randolph Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Randolph Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-05.