Organization
CLARK PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIANA CLARK LCMHC (OWNER)
(919) 619-9156
Entity
Organization
Contact information
Practice address
9 TEAKWOOD CT, DURHAM, NC 27713-9356
(919) 619-9156
Mailing address
3600 NORTH DUKE ST. STE1 #1453, DURHAM, NC 27704
(919) 391-5168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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