Arc House of Elavation
Organization Active NPI Health Service Clinic/Center · Thomasville, GA
NPI 1992380836 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1992380836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- ARC HOUSE OF ELAVATION
- Practice address
- 1102 E Jackson St
Thomasville, GA 31792-4786 - Phone
- (229) 403-7047
- Fax
- (229) 289-1869
- NPI assigned
- Mar 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ardria L Clark, LPC
- Title
- Executive Director
- Phone
- (229) 403-7047
Practitioners 1
-
Ardria Clark, LPC
National Provider Directory
Locations
1102 E Jackson St
Thomasville, GA 31792
Phone (229) 403-7047
1102 E Jackson St
Ste 4
Thomasville, GA 31792
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Professional Counselor |
101YP2500X | |||
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
1102 E Jackson St
Thomasville, GA 31792-4786
Mailing address
1102 E Jackson St Ste 4
Thomasville, GA 31792-4779
Phone (229) 403-7047
Other providers in Thomasville, GA
- Rachel Anderson
- Talia Montoya Anderson
- George Andrews
- Robert Anello
- Ankle & Foot Specialist
- Arc House of Elavation Inc of Thomasville
- Archbold Health Services, Inc.
- Archbold Health Services, Inc.
- Archbold Health Services, Inc.
- Archbold Medical Group
All providers in Thomasville, GA · Health Service Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. 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.