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IndividualActive

Ricky Clark

Counselor

NPI: 1013728146Tupelo, Mississippi, 38804(662) 640-4595Male

About Ricky Clark

Ricky Clark is a male healthcare professional specializing in Counselor, registered under National Provider Identifier (NPI) number 1013728146. Their primary practice is located at 2434 S EASON BLVD, Tupelo, Mississippi 38804.

Patients can reach the office at (662) 640-4595. Ricky Clark has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1013728146
Entity Type
Individual
First Name
Ricky
Last Name
Clark
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
2434 S EASON BLVD
City
Tupelo
State
Mississippi
ZIP
38804-6942
Country
United States
Phone
(662) 640-4595

Specialty & Taxonomy

Primary Specialty
Counselor
Classification
Counselor
Taxonomy Code
101Y00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2434 S EASON BLVD
City
TUPELO
State
MS
ZIP
388046942

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Ricky Clark's NPI number?
Ricky Clark's National Provider Identifier (NPI) is 1013728146. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ricky Clark specialize in?
Ricky Clark specializes in Counselor.
Where is Ricky Clark located?
Ricky Clark practices at 2434 S EASON BLVD, Tupelo, Mississippi 38804. You can reach them by phone at (662) 640-4595.
Does Ricky Clark accept Medicare?
Based on available data, Ricky Clark is not currently enrolled in the Medicare program.
Does Ricky Clark offer telehealth or virtual visits?
Ricky Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Ricky Clark is 1013728146.