| Ms Aletha Jennifer Clark, PHD, LPC | |
|
2386 Clower St Ste D-100, Snellville, GA 30078-6134 | |
| (404) 550-0564 | |
| (678) 344-2956 |
| Full Name | Ms Aletha Jennifer Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2386 Clower St Ste D-100, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912049594 | NPI | - | NPPES |
| 894502453A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1658-R (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC004805 (Georgia) | Primary |
| Entity Name | Clark Counseling & Consulting, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215260666 PECOS PAC ID: 0446773725 Enrollment ID: O20250327000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Aletha Jennifer Clark, PHD, LPC Po Box 955, Snellville, GA 30078-0955 Ph: (404) 550-0564 | Ms Aletha Jennifer Clark, PHD, LPC 2386 Clower St Ste D-100, Snellville, GA 30078-6134 Ph: (404) 550-0564 |
Dr. Geneva Marie Gray, PHD, LPC, NCC, CPCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Scenic Hwy S, Suite 115, Snellville, GA 30078 Phone: 770-559-9919 Fax: 404-891-5095 | |
Ms. Carrie Lynn Elder, LPC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3880 Laurel Brook Way, Snellville, GA 30039 Phone: 770-971-9311 | |
Ameleo D Manuel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Wisteria Dr, Snellville, GA 30078 Phone: 770-733-1469 | |
Janet Elizabeth Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Wisteria Dr Ste 440, Snellville, GA 30078 Phone: 770-880-8527 | |
Mr. Michael Wayne Mcnulty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Scenic Hwy S Ste 204, Snellville, GA 30078 Phone: 770-289-8217 Fax: 888-502-0589 | |
Dr. Artisetta Margaret Garvin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Scenic Hwy S, Suite 301, Snellville, GA 30078 Phone: 678-252-2181 Fax: 678-252-2183 | |
Jeffery Ellison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2795 Main St W, Snellville, GA 30078 Phone: 678-344-7836 |