=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225940828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A COURT OF CALM AND CLARITY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2026
-----------------------------------------------------
Last Update Date | 09/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3825 GILBERT DR STE 106
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71104-5000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-269-5473
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3825 GILBERT DR STE 106
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71104-5000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-269-5473
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. SAMANTHA RAE KLINGENBERG
-----------------------------------------------------
Credential | LPC, LAC
-----------------------------------------------------
Telephone | 918-978-7287
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------