Search › Georgia › 101YP2500X
Kaitlyn Clark, LPC
NPI 1457725095 · on the registry since 2015
Practice
- Address
- 3760 Lavista Rd Ste 102
Tucker, GA 30084 - Phone
- (770) 375-8124
- Fax
- (770) 559-5543
- Organisation at this address
- Caerus Group Llc
Caurus Group Llc
Metro Therapy Providers, Inc
Metro Therapy Providers, Inc
Metro Therapy Providers, Inc AdultsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 1370 Center Dr Ste 205, Atlanta, GA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 171M00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia