| Todd Clark, LPC | |
|
3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 | |
| (336) 277-1811 | |
| Not Available |
| Full Name | Todd Clark |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 3821 Forrestgate Drive, Winston-salem, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831311406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2636 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Clark, LPC 2000 Frontis Plaza Blvd, Suite 200 (forsyth Medical Group), Winston-salem, NC 27103-5616 Ph: (336) 277-2435 | Todd Clark, LPC 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 Ph: (336) 277-1811 |
Denise Marie Wallace, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1315 Weatherbee Dr., Winston-salem, NC 27103 Phone: 919-200-8734 | |
Katie West Every, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3821 Forrestgate Drive, Dba Forsyth Behavior Health, Winston-salem, NC 27103 Phone: 336-277-1811 |