Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC VINCESON CLARK SR.
Active Sole ProprietorERIC VINCESON CLARK SR. is a Mental Health Clinic healthcare provider located in SHREVEPORT, Louisiana. NPI 1588194583 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · SHREVEPORT, LA
Registration Details
- NPI Number
- 1588194583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2017 (9.1432229203601 yrs)
- Last Updated
- Jun 26, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 HEARNE AVESHREVEPORT, LA, 711032022Browse LA providers · Browse ZIP 71103
- Phone
- 3187161369
- Fax
- 3186750120
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Mental Health Clinic
Other Mental Health Clinic Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. KRISTIE NICOLE SMITH | L.P.C. | 1336411586 |
| MS. LINDA ANDERSON PIVONT | LAC | 1457623530 |
| MR. FRANKLIN LYONS | MHS | 1174993216 |
| MS. RENDY ALLEN | MHP | 1841718301 |
| COREY GLEN WHITE | — | 1891557203 |
| LATYTEAUNA GOODWIN | — | 1265273122 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.