Healthcare Provider Details

I. General information

NPI: 1215841507
Provider Name (Legal Business Name): NORTHLIGHT CLARITY 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

4010 SE CAMELOT DR
LAWTON OK
73501-8438
US

IV. Provider business mailing address

4010 SE CAMELOT DR
LAWTON OK
73501-8438
US

V. Phone/Fax

Practice location:
  • Phone: 907-350-9345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARICAR CHANDLER
Title or Position: OWNER
Credential: LSCSW
Phone: 907-350-9345