Edna Clark, LPC
Individual provider Active NPI Mental Health Counselor · Marshall, TX
NPI 1295519353 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1295519353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6208 (TX)
- Practice address
- 301 N Wellington St
Marshall, TX 75670-3335 - Phone
- (903) 938-4476
- Fax
- (903) 938-4125
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6208 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 6208 | TX | Yes |
Addresses
Primary practice location
301 N Wellington St
Marshall, TX 75670-3335
Mailing address
PO Box 8317
Marshall, TX 75671-8317
Phone (903) 938-4476
Other providers in Marshall, TX
- Toney Lee Charles Jr.
- Choices Adolescent Treatment Ctr
- Christus Good Shepherd Medical Center
- Christus Good Shepherd Medical Center
- City of Marshall
- Dwight Raymond Clemans
- Cody Whiddon Inc.
- Jayme Cole
- David Collins
- Community Adult Day Activity & Health Center
All providers in Marshall, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.