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

Mr. Herman Clark, LCAS-A

Individual provider Mental Health Counselor · NPI 1144550005

Mr. Herman Clark, LCAS-A is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

6614 Fawn View Dr
Charlotte, NC 28216
Phone: (704) 564-8981
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3196-A (NC)

Record details

NPI number1144550005
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedDecember 28, 2009
Last updated in NPPESMay 7, 2014

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