Clark, Lynn Davis

Clark, Lynn Davis is an sole proprietor health care provider with primary practice located at 5505 John Eskew Blvd , Alexandria LA 71303-3725. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Lynn Davis can be contacted via phone (318) 767-0651.

Contact Information

Primary practice address
5505 John Eskew Blvd Alexandria LA 71303-3725
Phone: (318) 767-0651
Fax: (318) 767-0652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3724 Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3724 Louisiana

Profile Details

NPI number 1699883512
LBN Legal business name Clark, Lynn Davis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Nov 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699883512 NPPES
Louisiana MEDICAID 1188999

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