National Provider Identifier Database

LISA CLARK ENTERPRISES INC
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LISA CLARK ENTERPRISES, INC
2785 LAWRENCEVILLE HWY STE 207
DECATUR, GA30033-2515
Phone: 678-519-1038
Fax: 678-239-4720
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LISA CLARK ENTERPRISES, INC

NPI Number 1801022413
Legal business name
LBN
LISA CLARK ENTERPRISES, INC
Authorized official LISA CLARK - (CEO/PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/09/2009
Last updated 02/26/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PSY002509
  • GA Medicaid: 000910929O

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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