Healthcare Provider Details

I. General information

NPI: 1508363011
Provider Name (Legal Business Name): CALM CLARITY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11410 SOWARD DR
KENSINGTON MD
20895-1423
US

IV. Provider business mailing address

11410 SOWARD DR
KENSINGTON MD
20895-1423
US

V. Phone/Fax

Practice location:
  • Phone: 720-238-7917
  • Fax: 720-287-3666
Mailing address:
  • Phone: 720-238-7917
  • Fax: 720-287-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberAPN.0010155
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. SEKOU BALEWA JONES
Title or Position: PSYCHIATRIC MENTAL HEALTH NP
Credential: MSN, PMHNP-BC
Phone: 303-898-2267