ETHAN CLARK
Counselor (Professional)

Address: 8150 N Central Expy # M-1065, Dallas, TX 75206-1815

ETHAN CLARK (NPI# 1265027163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265027163
Entity Type Individual
Full Name ETHAN CLARK
Gender Male
Credential MA, LPC
Practice Address 8150 N Central Expy # M-1065
Dallas
TX 75206-1815
Practice Telephone 2147369955
Mailing Address 8150 N Central Expy # M-1065
Dallas
TX 75206-1815
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
80246 TX Behavioral Health & Social Service Providers

Office Location

Street Address 8150 N CENTRAL EXPY # M-1065
City DALLAS
State TX
Zip Code 75206-1815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023582392 Catherine Page Price Counselor · Professional 8150 N Central Expy # M-1065, Dallas, TX 75206-1815 2019-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831788363 Joshua Kirby Psychologist · Clinical 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 2021-01-11
1356938427 Candice Farmer Counselor · Mental Health 8150 N Central Expy # M1065, Dallas, TX 75206-1815 2020-12-23
1871192583 Bobby Curtis Craig Massage Therapist 8150 N Central Expy, Dallas, TX 75206-1815 2020-10-22
1508327743 Sea-Lovin Ya Medical LLC. Electrodiagnostic Medicine 8150 N Central Expy Fl IIcc10, Dallas, TX 75206-1815 2019-03-29
1558866384 Lindsy Magee Psychologist 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 2018-03-25
1952848012 Merit Hospice, LLC Hospice Care, Community Based 8150 N Central Expy Ste M2060, Dallas, TX 75206-1815 2017-01-27
1477807964 Ranchland 2sp Group, LLC · Home Health Professionals Home Health 8150 N Central Expy, Suite M2103, Dallas, TX 75206-1815 2012-11-05
1730448275 Viva Medical Supply LLC Durable Medical Equipment & Medical Supplies · Parenteral & Enteral Nutrition 8150 N Central Expy, 780, Dallas, TX 75206-1815 2012-05-03
1881924207 Anne V. Ellis Psychologist · Family 8150 N Central Expy, Suite 625, Dallas, TX 75206-1815 2010-01-07
1538394002 Lonestar Back Institute Pllc Anesthesiology · Pain Medicine 8150 N Central Expy, Ste 601, Dallas, TX 75206-1815 2009-05-27
Find all providers in zip 75206-1815

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1861004012 Viktoria Guttenberg Pharmacist 5001 Ross Ave, Dallas, TX 75206 2020-08-19
1316596919 Dallas Anesthesia Group, Pllc Anesthesiology 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 2019-09-06
1003398074 Aaron Hands Psychologist · Clinical 5646 Milton St Ste 740, Dallas, TX 75206 2018-09-05
1174001960 Robert Butler Hampson Psychologist · Clinical 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 2018-08-02
1013408244 Christian Lopez Student in an Organized Health Care Education/Training Program 5330 E Mockingbird Ln, Dallas, TX 75206 2018-05-23
1851890636 Old Town Endoscopy Center LLC · Old Town Endoscopy Center Nurse Anesthetist, Certified Registered 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 2018-02-07
1528578846 Abigail Grace Ward Nurse Practitioner · Family 5334 Ross Ave Ste 900a, Dallas, TX 75206 2017-10-02
1851830434 Amanda Rash Physical Therapy Assistant 5855 Milton Road, Dallas, TX 75206 2017-02-16
1649727272 Insights Psychotherapy Group, Pllc · Insights Collaborative Therapy Group Counselor · Mental Health 5255 Vickery Boulevard, Dallas, TX 75206 2016-09-01
1215389655 Revolution Monitoring Management, LLC Psychiatry & Neurology · Neurology 4925 Greenville Ave #200, Dallas, TX 75206 2016-07-11
Find all providers in zip 75206

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326632621 Domingo Davila 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2021-02-26
1205420221 Elizabeth Armstrong 2345 San Marcus Ave, Dallas, TX 75228-3020 2021-02-22
1700479359 Nancy Davila 3208 Cole Ave Apt 1110, Dallas, TX 75204-1148 2021-02-15
1386237147 Stephanie Shaw 8915 Harry Hines Blvd, Dallas, TX 75235-1717 2021-02-12
1184216020 Mark Lancet 5519 Arapaho Rd Apt 414, Dallas, TX 75248-3648 2021-02-10
1831781707 Go Fearless, Pllc 10935 Estate Ln, Dallas, TX 75238-2316 2021-02-10
1215529771 Cornerstone Mental Health LLC 10300 N Central Expy Ste 280, Dallas, TX 75231-8666 2021-02-05
1578155198 Markelse Jordan 1350 N Buckner Blvd Ste 100, Dallas, TX 75218-3591 2021-02-04
1154912095 Dallas - Fort Worth Talk Therapy Pllc 6380 Lbj Fwy Ste 294, Dallas, TX 75240-6434 2021-02-02
1013508944 Pamela Gandy Dowell 8625 King George Dr Ste 111, Dallas, TX 75235-2240 2021-02-02
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.