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General NPI Number Information
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NPI Number | 1558026872
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Entity Type | Organization
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Legal Business Name | MENTAL CLARITY THERAPY LLC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 10076 SAN GERVASIO AVE
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City | LAS VEGAS
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State | NV
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Zip | 89147-7204
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Country | US
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Telephone | 434-229-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 6415 S FORT APACHE RD STE 185
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City | LAS VEGAS
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State | NV
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Zip | 89148-6746
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Country | US
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Telephone | 434-229-8540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN MCGEE
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Credential | MFT-INTERN
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Telephone | 434-229-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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