OrganizationActive
A Clark Minority Company LLC
NPI 1306385448 · Mental Health Counselor · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1306385448
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Authorized official
- James Clark, President/Eo
Practice location
4615 Marsh Hawk Pl
Ponte Vedra Beach, FL 32082-3027
Phone: (904) 463-1693
Mailing address
4615 Marsh Hawk Pl
Ponte Vedra Beach, FL 32082-3027
Registry dates
- Enumerated
- 2017-02-22
- Last updated
- 2017-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.