Organization Active NPI

Darsha D Clark LPC LLC

  • Community/Behavioral Health Agency
  • Douglasville, GA
National Provider Identifier
1871387001
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DARSHA D CLARK LPC LLC
Practice address
146 Brookwood Pass S
Douglasville, GA 30134-5330
Phone
(678) 235-5120
Fax
(470) 264-7142
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Darsha Darlene Clark, LPCNPI 1669806840
Title
Owner/Licensed Professional Counsel
Phone
(678) 235-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

146 Brookwood Pass S
Douglasville, GA 30134-5330

Mailing address

154 Rainbow Way Unit 115
Fayetteville, GA 30214-3994
Phone (678) 235-5120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1871387001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 RAINBOW WAY UNIT 115",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143994",
            "telephone_number": "678-235-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BROOKWOOD PASS S",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345330",
            "telephone_number": "678-235-5120",
            "fax_number": "470-264-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARSHA D CLARK LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DARSHA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "678-235-5120",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.