Individual provider · Type 1 NPI

Alisha Shantel Clark, LCPC

Mental Health Counselor · Parkville, MD

NPI number 1114798683 Active

Practice location

9613 Harford Rd Ste 3
Parkville, MD 21234-2150

Call (410) 714-0775 Map

Fax (443) 380-2886

Mailing address

2701 Jeremy Ct Apt A
Baltimore, MD 21209-3062

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC17223 (MD)

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Parkville

See all in Parkville →

About NPI 1114798683

Alisha Shantel Clark, LCPC's National Provider Identifier is 1114798683, issued on Jan 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Parkville, MD. The record was last updated on Jan 9, 2026.