Healthcare Provider Details

I. General information

NPI: 1134012529
Provider Name (Legal Business Name): CLARITY ARMHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 22ND ST S APT 307
SAINT CLOUD MN
56301-5086
US

IV. Provider business mailing address

1219 PECKS WOODS DR
NEW BRIGHTON MN
55112-8415
US

V. Phone/Fax

Practice location:
  • Phone: 320-980-6031
  • Fax:
Mailing address:
  • Phone: 320-980-6031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHADO ONWUKWE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 320-980-6031