P Praxis·MD
● Active Type 1 · Individual

DR. William Dave Clark, PH.D.

Counselor·Ellerslie, GA· NPI 1023274503 · Enumerated 2008 · 17 years on NPI
Clark is 1 of 1 counselor providers in Ellerslie and 1 of 5527 in Georgia.
NPI age
17 years
Enumerated 2008-08-04
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
17 years
↑ 12 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
1421 Ossahatchie Creek Rd
Ellerslie, GA 318075339
📞 5613190625
Mailing address
1421 Ossahatchie Creek Rd
Ellerslie, GA 318075339
📞 5613190625

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC001112 taxonomy 101YM0800X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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