Search › Louisiana › 101YM0800X
Shanika Clark
NPI 1447617550 · on the registry since 2016
Practice
- Address
- 2620 Centenary Blvd Ste 312
Shreveport, LA 71104 - Phone
- (318) 681-9935
- Organisation at this address
- Road To Change
Cjmg Holdings, Llc
Superior Counseling
Superior Drivers, Llc
Easter Seals LouisianaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Additional practice sites
- 2525 Youree Dr Ste 110, Shreveport, LA
- 856 Texas Ave, Shreveport, LA
- 3003 Knight St Ste 115, Shreveport, LA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana