Healthcare Provider Details

I. General information

NPI: 1760396287
Provider Name (Legal Business Name): CLEARBROOK THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 MOON SHOT LN
FREDERICK MD
21702-1716
US

IV. Provider business mailing address

2706 MOON SHOT LN
FREDERICK MD
21702-1716
US

V. Phone/Fax

Practice location:
  • Phone: 301-901-0490
  • Fax:
Mailing address:
  • Phone: 301-901-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALYSSIA TURNER
Title or Position: OWNER
Credential:
Phone: 301-901-0490