Clark, Stephanie

Clark, Stephanie is an sole proprietor health care provider with primary practice located at 1175 Canton St , Roswell GA 30075-3692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Clark, Stephanie can be contacted via phone (404) 394-3748.

Contact Information

Primary practice address
1175 Canton St Roswell GA 30075-3692
Phone: (404) 394-3748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 006348 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001264 Georgia

Profile Details

NPI number 1104343995
LBN Legal business name Clark, Stephanie
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2017
Last updated Aug 23rd, 2017 - about 9 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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