Mary Lynn Clark, LMHC
Individual provider Active NPI Mental Health Counselor · Huntington, IN
NPI 1942017751 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1942017751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39004295A (IN)
- Practice address
- 5000 W 600 N Lot 9
Huntington, IN 46750-8970 - Phone
- (260) 241-8034
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004295A | IN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39004295A | IN | Yes |
Addresses
Primary practice location
5000 W 600 N Lot 9
Huntington, IN 46750-8970
Mailing address
5000 W 600 N Lot 9
Huntington, IN 46750-8970
Phone (260) 241-8034
Other providers in Huntington, IN
- Richard Capone II
- Cardinal Family Medicine
- Kimberly Case
- Alyvia Clark
- Bernadette E Clark
- Meghan Colley
- Aleisha D Collins
- Teresa Collins
- Taylyn Cook
- Brandy Cooper
All providers in Huntington, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. 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.