Sue Clark,LPC PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15041 Issued in TX

Legal business name

SUE CLARK,LPC PLLC

Doing business as

Therapy On Location

Practice address

1206 Apollo Rd
851943
Richardson, TX 75085-5001

Phone

(214) 460-7749

NPI assigned

Sep 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sue Clark

Title

Licensed Professional Counselor

Phone

(214) 460-7749

Specialties & licenses 1

Addresses

Other names 1

• Therapy On Location Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1457752065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 APOLLO RD",
            "address_2": "851943",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750855001",
            "telephone_number": "214-460-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 APOLLO RD",
            "address_2": "851943",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750855001",
            "telephone_number": "214-460-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE CLARK,LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "214-460-7749"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy On Location",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.