Healthcare Provider Details

I. General information

NPI: 1134950058
Provider Name (Legal Business Name): INSIGHTFUL CLARITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 TACOMA NARROWS CIR APT 8303
SUFFOLK VA
23434-6487
US

IV. Provider business mailing address

1024 CENTERBROOKE LN STE F247
SUFFOLK VA
23434-8291
US

V. Phone/Fax

Practice location:
  • Phone: 301-358-1094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAMARA SKINNER
Title or Position: OWNER/CLINICIAN
Credential: LCPC
Phone: 301-358-1094