| Darsha D Clark Lpc Llc | |
|
146 Brookwood Pass S Douglasville GA 30134-5330 | |
| (678) 235-5120 | |
| (470) 264-7142 |
| Full Name | Darsha D Clark Lpc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 146 Brookwood Pass S, Douglasville, Georgia |
| Authorized Official Name and Position | Darsha Darlene Clark (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Contact | 6782355120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darsha D Clark Lpc Llc 154 Rainbow Way Unit 115 Fayetteville GA 30214-3994 Ph: (678) 235-5120 | Darsha D Clark Lpc Llc 146 Brookwood Pass S Douglasville GA 30134-5330 Ph: (678) 235-5120 |
| NPI Number | 1871387001 |
|---|---|
| Provider Enumeration Date | 04/04/2025 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871387001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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