Healthcare Provider Details
I. General information
NPI: 1457175531
Provider Name (Legal Business Name): CLARITY AND COMPASSION COUNSELING, A LICENSED CLINICAL SOCIAL WORKER C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8880 CAL CENTER DR STE 400
SACRAMENTO CA
95826-3267
US
IV. Provider business mailing address
8880 CAL CENTER DR STE 400
SACRAMENTO CA
95826-3267
US
V. Phone/Fax
- Phone: 323-410-5722
- Fax:
- Phone: 323-410-5722
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAUREN
LUDLOW
Title or Position: CEO
Credential: LCSW
Phone: 323-410-5722