DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA F CLARK LPCC

MEDICARE: LISA F CLARK LPCC
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
1101YP2500XProfessional Counselor247004KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366689895
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA F CLARK LPCC
Provider Business Mailing Address
First Line : PO BOX 1150
Second Line :
City : BARBOURVILLE
State : KY
Zip : 40906-5150
Country : US
Telephone Number : 606-546-9287
Fax Number : 606-546-0009
Provider Business Practice Location Address
First Line : 140 BRYAN BLVD
Second Line :
City : CORBIN
State : KY
Zip : 40701-2775
Country : US
Telephone Number : 606-523-2005
Fax Number : 606-523-9704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2009
Last Update Date : 03/12/2019

Similar Medicare Providers

1891626289 — EMILEE RENEE PREWITT-HAGGARD PMHNP-BC
Practice Location Address:
140 BRYAN BLVD
CORBIN, KY
40701-2775
Practice Phone: 606-523-2005
Practice Fax:
1073599056 — BARBOURVILLE FAMILY HEALTH CENTER
Practice Location Address:
140 BRYAN BLVD
CORBIN, KY
40701-2775
Practice Phone: 606-523-2005
Practice Fax: 606-546-9363
1194704049 — MRS. ROBERTA LEE POOL ARNP
Practice Location Address:
140 BRYAN BLVD
CORBIN, KY
40701-2775
Practice Phone: 606-523-2005
Practice Fax: 606-523-9704
1902853518 — SLEEP DISORDERS CENTER OF LONDON & CORBIN, PLLC
Practice Location Address:
95 BRYAN BLVD , SUITE 102
CORBIN, KY
40701-2775
Practice Phone: 606-528-8144
Practice Fax: 606-528-2669
1528173325 — DR. RAYMOND ALLEN HACKETT M.D.
Practice Location Address:
140 BRYAN BLVD
CORBIN, KY
40701-2775
Practice Phone: 606-528-1172
Practice Fax: 606-528-7169
1588813083 — CRYSTAL PREWITT APRN
Practice Location Address:
140 BRYAN BLVD
CORBIN, KY
40701-2775
Practice Phone: 606-523-2005
Practice Fax: 606-523-9704

Directions to “ LISA F CLARK LPCC” 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.