Healthcare Provider Details

I. General information

NPI: 1689588170
Provider Name (Legal Business Name): KLARITY PSYCHIATRIC CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5942 RALSTON WAY
MONTGOMERY AL
36116-5298
US

IV. Provider business mailing address

5942 RALSTON WAY
MONTGOMERY AL
36116-5298
US

V. Phone/Fax

Practice location:
  • Phone: 334-313-4857
  • Fax:
Mailing address:
  • Phone: 334-313-4857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: GWENDOLYN X DANIEL
Title or Position: PMHNP
Credential: CRNP
Phone: 334-313-4857