Organization
CLARK COMMUNITY MENTAL HEALTH CENTER
Active
Organization
CLARK COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SUPPLEE (PAYER ENROLLMENT MANAGER)
(417) 476-1000
Entity
Organization
Contact information
Practice address
1701 NORTH CENTRAL AVE, MONETT, MO 65708
(417) 235-6610
(417) 476-1081
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1000
(417) 943-5632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/23/2026
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