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

Individual provider Mental Health Counselor · NPI 1407544604

Kimberly Deyonne Clark, CMHT is a Mental Health Counselor in Meridian, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

2803 Old North Hills St
Meridian, MS 39305-1630
Phone: (601) 435-2919
Fax: (601) 286-5054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1407544604
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMHT
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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