Healthcare Provider Details

I. General information

NPI: 1144854860
Provider Name (Legal Business Name): CLARITY COUNSELING GROUP. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROSELAWN DR
NATCHEZ MS
39120-4069
US

IV. Provider business mailing address

11 ROSELAWN DR
NATCHEZ MS
39120-4069
US

V. Phone/Fax

Practice location:
  • Phone: 601-870-3905
  • Fax: 601-442-9294
Mailing address:
  • Phone: 601-870-3905
  • Fax: 601-442-9294

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 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: MRS. JESSICA G. DEAN
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPC, NCC, BC-TMH
Phone: 601-870-3905