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NPI Code Detail

MEDICARE: CLARITY COUNSELING, LLC

MEDICARE: CLARITY COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2351SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11740271253OTHERNPI

General Provider Information

NPI Number : 1790143691
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARITY COUNSELING, LLC
Provider Business Mailing Address
First Line : 101 S REID ST STE 307
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-7045
Country : US
Telephone Number : 605-221-6244
Fax Number :
Provider Business Practice Location Address
First Line : 101 S REID ST STE 307
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-7045
Country : US
Telephone Number : 605-221-6244
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. BRANDY KAY BUNKERS
Credential : CSW-PIP
Telephone Number : 605-221-6244
Provider Enumeration Date : 02/05/2016
Last Update Date : 02/05/2016

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