Deborah Jean Clark in Dallas - Mental Health
Deborah Jean Clark - NPI 1811056013
Deborah Jean Clark is a Mental Health in Dallas, Texas. Deborah Jean Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Deborah Jean Clark is 1811056013. The last update date is 2007-07-08.
Deborah Jean Clark's current location address is 6301 Gaston Ave, Dallas, Texas. You can contact this provider via phone number 2143705333 and fax number 2143705331. The mailing address for Deborah Jean Clark is 6301 Gaston Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Jean Clark |
|---|---|
| Address | 6301 Gaston Ave, Dallas, Texas |
| Phone Number | 2143705333 |
| Fax Number | 2143705331 |
| Sole Proprietor | Y |
| Credentials | LMSW,LMFT |
NPI Number Detail
| NPI Number | 1811056013 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6301 Gaston Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752143922 |
| Phone Number | 2143705333 |
| Fax Number | 2143705331 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6855 |
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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 |
|---|---|---|---|
| 00P79P | TX | BCBS | |
| 969135 | TX | AETNA | |
| 127007 | TX | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Deborah Jean Clark by the Centers for Medicare & Medicaid Services?
The Deborah Jean Clark has been assigned the NPI (National Provider Identifier) 1811056013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Deborah Jean Clark is located?
The Deborah Jean Clark is situated at the following address: 6301 Gaston Ave, Dallas, TX, 752143922.
What is Deborah Jean Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deborah Jean Clark is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date was the 1811056013 assigned to Deborah Jean Clark?
The Deborah Jean Clark was issued its 1811056013 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Deborah Jean Clark most recently updated or revised?
The information pertaining to Deborah Jean Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.