Erin Elizabeth Ann Clark, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2402001 Issued in AR

Practice address

1157 S Rogers St
Clarksville, AR 72830-9158

Phone

(479) 705-0118

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1750122099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ROCK ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343403",
            "telephone_number": "479-477-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S ROGERS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309158",
            "telephone_number": "479-705-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH ANN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2402001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladonna M Chenault, RECOVERY ASSISTANT
• Vanessa Chevalier, CMP
• Hilary Spring Childers, LPE
• Astrid Christensen
• John Clarady
• Clarksville Community Health & Rehabilitation LLC
• Clarksville Dentistry, Inc.
• Clarksville Family Pharmacy Inc
• Clarksville Health & Rehab,LLC
• Clarksville Medical Group, P.a.

• Mental Health Counselor in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.