Individual provider · Type 1 NPI
Michael Clark
Mental Health Counselor · Houston, TX
NPI number
1215534227
Active
Practice location
1107 Lavender Shade Court
Houston, TX 77073
Mailing address
40 Cypress Creek Pkwy Ste 536
Houston, TX 77090-3530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18841841 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1215534227
Michael Clark's National Provider Identifier is 1215534227, issued on Oct 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Houston, TX. The record was last updated on Oct 10, 2025.