Individual
KAYLA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 E 5TH AVE, ROME, GA 30161-3128
(706) 509-0130
(706) 237-6503
Mailing address
406 LEAFMORE RD SW APT B, ROME, GA 30165-3856
(404) 736-5112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC007128
GA
101YM0800X
Mental Health Counselor
Primary
LPC012786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC012786
LICENSURE
GA
Enumeration date
08/16/2017
Last updated
03/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us