Chad Clardy
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tupelo, MS
NPI 1447420849 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1447420849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 920 Boone St
Tupelo, MS 38804-5908 - Phone
- (662) 844-3531
- Fax
- (662) 844-1757
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heale Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Heale ABA, LLC | Current | Accepting new patients | |
| Heale Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
920 Boone St
Tupelo, MS 38804-5908
Mailing address
302 Lilac St
Corinth, MS 38834-5212
Other providers in Tupelo, MS
- Athena Tiwari Christman
- Robynn Christopherson
- Russell Chumley
- Cody Wayne Cissom
- Elishia Clanton
- Lena Clardy
- Brittney Clark
- Caitlin Clark
- Maurice Allan Clark
- Ricky Clark
All providers in Tupelo, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2008. 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.