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

Amanda Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255835351

Amanda Clark is an Addiction (Substance Use Disorder) Counselor in Southgate, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7701
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1255835351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2018
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address13101 Allen Rd, Southgate, MI 48195-2216

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