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

Jayla Clark, LMCHA

Individual provider Mental Health Counselor · NPI 1568275816

Jayla Clark, LMCHA is a Mental Health Counselor in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

54367 30th St Ste 4
South Bend, IN 46635-2002
Phone: (574) 207-2026
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 88002734A (IN)

Record details

NPI number1568275816
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMCHA
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address54367 30th St Ste 4, South Bend, IN 46635-2002

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