Healthcare Provider Details

I. General information

NPI: 1790143691
Provider Name (Legal Business Name): CLARITY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S REID ST STE 307
SIOUX FALLS SD
57103-7045
US

IV. Provider business mailing address

101 S REID ST STE 307
SIOUX FALLS SD
57103-7045
US

V. Phone/Fax

Practice location:
  • Phone: 605-221-6244
  • Fax:
Mailing address:
  • Phone: 605-221-6244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2351
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1740271253
Identifier TypeOTHER
Identifier State
Identifier IssuerNPI

VIII. Authorized Official

Name: MRS. BRANDY KAY BUNKERS
Title or Position: OWNER
Credential: CSW-PIP
Phone: 605-221-6244