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General NPI Number Information
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NPI Number | 1427930668
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Entity Type | Organization
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Legal Business Name | CLARITY POINT YOUTH PROGRAM LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 212 N 2ND ST STE 100
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City | RICHMOND
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State | KY
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Zip | 40475-1408
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Country | US
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Telephone | 509-768-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 2483 SCARLET MAPLE ALY
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City | ATLANTA
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State | GA
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Zip | 30360-9801
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Country | US
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Telephone | 404-987-8369
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | TANISHA COLEMAN
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Credential |
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Telephone | 404-987-8369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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