Healthcare Provider Details
I. General information
NPI: 1326639550
Provider Name (Legal Business Name): CLARITY COUNSELING LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2021
Last Update Date: 03/28/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 ACADEMY ST STE 4
NEW PALTZ NY
12561-1702
US
IV. Provider business mailing address
151 STATE ROUTE 32 S APT 12
NEW PALTZ NY
12561-3930
US
V. Phone/Fax
- Phone: 845-401-5202
- Fax: 845-834-2371
- Phone: 845-797-5617
- Fax: 845-834-2371
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANICE
CYR
Title or Position: LCSW
Credential: LCSW
Phone: 845-797-5617