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

Charity Ann Clark

Individual provider Counselor · NPI 1558804690

Charity Ann Clark is a Counselor in South Daytona, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2400 S Ridgewood Ave
South Daytona, FL 32119-3097
Phone: (386) 304-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1558804690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2016
Last updated in NPPESNovember 21, 2016
Mailing address2066 Oak Meadow Cir, South Daytona, FL 32119-8821

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