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

Wanda Mae Clark

Individual provider Mental Health Counselor · NPI 1376866301

Wanda Mae Clark is a Mental Health Counselor in Atlanta, Georgia. Qualified in 2009, 17 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina and Utah.

Years since qualifying
17
Licensed in
GA, NC, UT
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

3424 Peachtree Rd NE Ste 2200
Atlanta, GA 30326-1156
Phone: (323) 205-7088
Fax: (833) 419-0181
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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 · Licence 12159 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 13049691-6004 (UT)
Professional Counselor Taxonomy 101YP2500X · Licence LPC012942 (GA)

Record details

NPI number1376866301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2010
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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