Miss Kelly Clark, - Counselor in Booneville, MS

Miss Kelly Clark, is a Counselor - Mental Health based in Booneville, Mississippi. Miss Kelly Clark is licensed to practice in Mississippi (license number BS DEGREE) and her current practice location is 2301 E Chambers Dr, Booneville, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 728-3154.

NPI number for Miss Kelly Clark is 1942605852 and her current mailing address is 2301 E Chambers Dr, Booneville, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942605852.

Contact Information

Miss Kelly Clark,
2301 E Chambers Dr,
Booneville, MS 38829-8903
(662) 728-3154
Not Available

Healthcare Provider's Profile

Full NameMiss Kelly Clark
GenderFemale
SpecialityCounselor - Mental Health
Location2301 E Chambers Dr, Booneville, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942605852
  • Provider Enumeration Date: 11/04/2014
  • Last Update Date: 11/04/2014

Medical Identifiers

Medical identifiers for Miss Kelly Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942605852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health BS DEGREE (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kelly Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Kelly Clark,
2301 E Chambers Dr,
Booneville, MS 38829-8903

Ph: (662) 728-3154
Miss Kelly Clark,
2301 E Chambers Dr,
Booneville, MS 38829-8903

Ph: (662) 728-3154

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Counselor in Booneville, MS

Pam Castle, PCMHT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2100 East Chambers Street, Booneville, MS 38829
Phone: 662-728-3174    Fax: 662-286-8095
Alyson Woodruff,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 609 E Church St, Booneville, MS 38829
Phone: 662-728-2488    
Kathryn Gann Murff, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2100 E Chambers Dr, Booneville, MS 38829
Phone: 662-728-3174    Fax: 662-728-3175
Vanity Kay Langston,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 609 E Church St, Booneville, MS 38829
Phone: 662-728-2488    
Christy Brantley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 609 E Church St, Booneville, MS 38829
Phone: 662-728-2488    
Ellen Yow,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2100 E Chambers Dr, Booneville, MS 38829
Phone: 662-728-3174    Fax: 662-728-3175
Ms. Kim Latice Harvey-cooper, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 W George E Allen Dr # B, Booneville, MS 38829
Phone: 662-728-5445    

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