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

Mr. Eric Vinceson Clark Jr., MHS

Individual provider Mental Health Counselor · NPI 1053786194

Mr. Eric Vinceson Clark Jr., MHS is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2015

Practice location Address checks out

404 Hearne Ave
Shreveport, LA 71103
Phone: (318) 716-1369
Fax: (318) 675-0120
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 008573370 (LA)

Record details

NPI number1053786194
Entity typeIndividual (Type 1)
GenderMale
Credentials MHS
Sole proprietorYes
NPI enumeratedDecember 1, 2015
Last updated in NPPESSeptember 11, 2025

Other providers in Shreveport