A Clark Minority Company Llc

LBN: A Clark Minority Company Llc
A Clark Minority Company Llc is an health care organization with primary practice located at 4615 Marsh Hawk Pl , Ponte Vedra Beach FL 32082-3027. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. A Clark Minority Company Llc can be contacted via phone (904) 463-1693, or through Clark, James Douglas via phone (904) 463-1693.

Contact Information

Primary practice address
4615 Marsh Hawk Pl Ponte Vedra Beach FL 32082-3027
Phone: (904) 463-1693
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, James Douglas LCSW,ACSW,CFRE
Phone: (904) 463-1693

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1306385448
LBN Legal business name A Clark Minority Company Llc
DBA Doing business as
Authorized official Clark, James Douglas LCSW,ACSW,CFRE
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers