Healthcare Provider Details

I. General information

NPI: 1013824150
Provider Name (Legal Business Name): KLEAR MINDS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JUDSON RD STE 140
LONGVIEW TX
75601-5119
US

IV. Provider business mailing address

1121 JUDSON RD STE 140
LONGVIEW TX
75601-5119
US

V. Phone/Fax

Practice location:
  • Phone: 430-201-5046
  • Fax:
Mailing address:
  • Phone: 430-201-5046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANTOINETTE WRIGHT
Title or Position: THERAPIST
Credential: LCSW
Phone: 903-399-8982