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

Mrs. Antoinette Kelly-Clark

Individual provider Counseling Psychologist · NPI 1417638800

Mrs. Antoinette Kelly-Clark is a Counseling Psychologist in Ruston, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

171 Water Tank Rd
Ruston, LA 71270-8550
Phone: (318) 548-7242
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counseling Psychologist Taxonomy 103TC1900X

Record details

NPI number1417638800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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