Gary Mike Clark in Louisville - Marriage & Family Therapist
Gary Mike Clark - NPI 1912022484
Gary Mike Clark is a Marriage & Family Therapist in Louisville, Kentucky. Gary Mike Clark practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gary Mike Clark is 1912022484. The last update date is 2007-07-08.
Gary Mike Clark's current location address is 8014 Red Bud Hill Dr, Louisville, Kentucky. You can contact this provider via phone number 5025235433 and fax number 5022391651. The mailing address for Gary Mike Clark is 8014 Red Bud Hill Dr, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Mike Clark |
|---|---|
| Address | 8014 Red Bud Hill Dr, Louisville, Kentucky |
| Phone Number | 5025235433 |
| Fax Number | 5022391651 |
| Sole Proprietor | Y |
| Credentials | L.M.F.T. |
NPI Number Detail
| NPI Number | 1912022484 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8014 Red Bud Hill Dr |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402282215 |
| Phone Number | 5025235433 |
| Fax Number | 5022391651 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | KY-0272 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Gary Mike Clark's 1912022484?
The Gary Mike Clark's NPI (National Provider Identifier) Number is 1912022484. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary Mike Clark's physical address?
The Gary Mike Clark is physically located at 8014 Red Bud Hill Dr, in the city of Louisville, KY, with the postal code 402282215.
What is Gary Mike Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Mike Clark's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Gary Mike Clark receive the assignment of its 1912022484 from the Centers for Medicare & Medicaid Services?
The Gary Mike Clark was issued its 1912022484 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding Gary Mike Clark most recently updated?
The details pertaining to the Gary Mike Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC