MEDICARE: ZELMA CLARK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC 2257	OK

General Provider Information

NPI Number	:	1205050762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZELMA CLARK

Provider Business Mailing Address
First Line	:	1222 10TH ST STE 211
Second Line	:
City	:	WOODWARD
State	:	OK
Zip	:	73801-3156
Country	:	US
Telephone Number	:	580-256-8615
Fax Number	:	580-256-8643

Provider Business Practice Location Address
First Line	:	1222 10TH ST STE 211
Second Line	:
City	:	WOODWARD
State	:	OK
Zip	:	73801-3156
Country	:	US
Telephone Number	:	580-256-8615
Fax Number	:	580-256-8643

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1386481562 — ERIN ELIZABETH STAFFORD PRSS BHWC
Practice Location Address:

1222 10TH ST
WOODWARD, OK
73801-3156

Practice Phone: 918-576-4448
Practice Fax:

1750456588 — STATE OF OKLAHOMA
Practice Location Address:

1222 10TH STREET, SUITE 211 , NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK
73801-3156

Practice Phone: 580-571-3217
Practice Fax: 580-256-8609

1346464807 — LINDA GERBER
Practice Location Address:

1222 10TH ST STE 211
WOODWARD, OK
73801-3156

Practice Phone: 580-256-8615
Practice Fax: 580-256-8643

1497979983 — RICKI RICKARD
Practice Location Address:

1222 10TH ST STE 211
WOODWARD, OK
73801-3156

Practice Phone: 580-256-8615
Practice Fax: 580-256-8643

1710101225 — TROY LONG
Practice Location Address:

1222 10TH ST STE 211
WOODWARD, OK
73801-3156

Practice Phone: 580-256-8615
Practice Fax: 580-256-8643

1982813788 — DONALD PETTEY
Practice Location Address:

1222 10TH ST STE 211
WOODWARD, OK
73801-3156

Practice Phone: 580-256-8615
Practice Fax: 580-256-8643

Directions to “ ZELMA CLARK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.