Healthcare Provider Details

I. General information

NPI: 1932614369
Provider Name (Legal Business Name): CLARITY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 DAUPHIN ST
MOBILE AL
36606-1929
US

IV. Provider business mailing address

2054 DAUPHIN ST
MOBILE AL
36606-1929
US

V. Phone/Fax

Practice location:
  • Phone: 251-635-4541
  • Fax: 251-217-7933
Mailing address:
  • Phone: 251-635-4541
  • Fax: 251-217-7933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1374
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1129637
License Number StateAL

VIII. Authorized Official

Name: DR. JACK CHRISTOPHER CARNEY
Title or Position: OWNER
Credential: PH.D.
Phone: 251-635-4541