Healthcare Provider Details

I. General information

NPI: 1902775331
Provider Name (Legal Business Name): CLARITY PSYCHIATRIC SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 S LOCHSA ST STE 225
POST FALLS ID
83854-8357
US

IV. Provider business mailing address

3130 N 9TH ST
COEUR D ALENE ID
83815-5181
US

V. Phone/Fax

Practice location:
  • Phone: 208-640-2564
  • Fax:
Mailing address:
  • Phone: 208-640-2564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JONATHAN HENZEL
Title or Position: PMHNP-BC
Credential: NP
Phone: 208-640-2564