Healthcare Provider Details

I. General information

NPI: 1669982328
Provider Name (Legal Business Name): CLARITY COUNSELING SERVICES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2017
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2387 PROFESSIONAL HEIGHTS DR STE 10
LEXINGTON KY
40503-3004
US

IV. Provider business mailing address

2387 PROFESSIONAL HEIGHTS DR STE 10
LEXINGTON KY
40503-3004
US

V. Phone/Fax

Practice location:
  • Phone: 859-429-1362
  • Fax:
Mailing address:
  • Phone: 859-429-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HAGUE
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 859-429-1362