Alicia Lenae Clark, PMHNP-BC, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-136040 Issued in AL

Practice address

600 S 3Rd St
Gadsden, AL 35901-5304

Phone

(256) 543-5200

NPI assigned

Feb 26, 2026

Sex

Female

Sole proprietor

No

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": "1772064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1750235529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WALDEN HOLLOW RD",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359548865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015304",
            "telephone_number": "256-543-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Goodyear Ave",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359031100",
            "country_code": "US",
            "telephone_number": "256-494-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALICIA",
        "middle_name": "LENAE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-136040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Parke Christenberry, M.D.
• Chris E Christian, PHARMD
• CHS Health Services, LLC (Goodlife Health Center)
• Elizabeth L. Chua, M.D.
• David Barton Clapp, CRNP
• Christina Clark, ALC
• McKenzie T Clark
• Ronald B Clark, CRNA
• Selena Nicole Christine Clark, ALC
• Callie Clement, NP

• Psychiatric/Mental Health Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.