Healthcare Provider Details

I. General information

NPI: 1285567388
Provider Name (Legal Business Name): CLARITY AXIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 ALOMA AVE # 318
WINTER PARK FL
32792-3752
US

IV. Provider business mailing address

7901 4TH ST N STE 25081
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 407-504-2541
  • Fax: 407-988-2668
Mailing address:
  • Phone: 407-504-2541
  • Fax: 407-988-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANNA FELICIANO
Title or Position: NP
Credential: APRN, PMHNP-BC
Phone: 407-504-2541