Individual provider · Type 1 NPI

Carol Denise Clark, LMHC

Mental Health Counselor · Cocoa, FL

NPI number 1841571064 Active

Practice location

3905 Grissom Pkwy
Cocoa, FL 32926-3669

Call (321) 637-1866 Map

Fax (321) 637-7227

Mailing address

6975 Bismarck Road
Cocoa, FL 32927-3955

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH10894 (FL)

Mental Health Counselor: Definition to come...

3 other providers at this address

Other mental health counselor providers in Cocoa

See all in Cocoa →

About NPI 1841571064

Carol Denise Clark, LMHC's National Provider Identifier is 1841571064, issued on Sep 1, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cocoa, FL. The record was last updated on Sep 1, 2011.