Individual provider · Type 1 NPI

Shanika Clark

Mental Health Counselor · Shreveport, LA

NPI number 1447617550 Active

Practice location

2620 Centenary Blvd Ste 312
Shreveport, LA 71104-3358

Mailing address

800 Spring St Ste 215
Shreveport, LA 71101-3757

Other practice locations

  • 2525 Youree Dr Ste 110, Shreveport, LA 71104-3600 · (318) 675-0804
  • 856 Texas Ave, Shreveport, LA 71101-3400 · (318) 429-6977
  • 3003 Knight St Ste 115, Shreveport, LA 71105-2561 · (318) 227-8390

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XPLC10022 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1447617550

Shanika Clark's National Provider Identifier is 1447617550, issued on Jan 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Aug 23, 2024.