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

Mrs. Sandra Denice Clark, EDS

Individual provider Counselor · NPI 1205142106

Mrs. Sandra Denice Clark, EDS is a Mental Health Counselor in Meridian, Mississippi. Qualified in 1997, 29 years ago. Practices with Positive Innergy Counseling Services LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
29
Licensed in
MS
In the registry since
2010
Specialties on file
4
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Practice location Address checks out

5701 N Hills St
Meridian, MS 39307-2903
Phone: (601) 581-7562
Fax: (601) 581-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0804 (MS)
Counselor Taxonomy 101Y00000X · Licence 0804 (MS)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH0061 (MS)
School Counselor Taxonomy 101YS0200X · Licence 168226 (MS)

Record details

NPI number1205142106
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS
Sole proprietorNo
NPI enumeratedAugust 30, 2010
Last updated in NPPESAugust 31, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Positive Innergy Counseling Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian