1114407657 NPI number — CLARITY COACHING AND COUNSELING, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114407657 NPI number — CLARITY COACHING AND COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLARITY COACHING AND COUNSELING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114407657
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3696 COUNTY ROAD 502
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYFIELD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81122-9016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-903-3354
Provider Business Mailing Address Fax Number:
970-884-5004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1328 COUNTY RD 501
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAYFIELD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81122-8112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-903-3354
Provider Business Practice Location Address Fax Number:
970-442-4511
Provider Enumeration Date:
08/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
CASSADY
Authorized Official First Name:
JESSACA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER/ THERAPIST
Authorized Official Telephone Number:
970-903-3354

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com