Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Altheresa Clark

Individual provider Counselor · NPI 1710332333

Altheresa Clark is a Counselor in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

111 NW 183rd St Ste 404
Miami, FL 33169-4619
Phone: (786) 524-4001
Fax: (786) 551-1968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW13295 (FL)
Counselor Taxonomy 101Y00000X · Licence SW13295 (FL)

Record details

NPI number1710332333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2016
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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