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General NPI Number Information
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NPI Number | 1801807771
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Entity Type | Organization
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Legal Business Name | CLARK COMMUNITY MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1701 N CENTRAL AVE
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City | MONETT
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State | MO
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Zip | 65708-9999
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Country | US
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Telephone | 417-476-1000
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Fax | 471-476-1082
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Provider Business Mailing Address
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Address Line | PO BOX 100 104 W MAIN ST
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City | PIERCE CITY
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State | MO
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Zip | 65723-2100
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Country | US
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Telephone | 417-476-1000
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Fax | 417-943-5693
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Authorized Official
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Title or Position | DIRECTOR OF ADMIN
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Name | DEBBIE SCHOON
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Credential |
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Telephone | 417-476-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2470-8563
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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