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

Miss. Kelly Clark

Individual provider Mental Health Counselor · NPI 1942605852

Miss. Kelly Clark is a Mental Health Counselor in Booneville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2014

Practice location Address checks out

2301 E Chambers Dr
Booneville, MS 38829-8903
Phone: (662) 728-3154
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 BS DEGREE (MS)

Record details

NPI number1942605852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014

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