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General NPI Number Information
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NPI Number | 1710415450
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Entity Type | Organization
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Legal Business Name | CLARITY BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 106 PINEAPPLE LN
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5812
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Country | US
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Telephone | 407-963-9461
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Fax |
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Provider Business Mailing Address
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Address Line | 106 PINEAPPLE LN
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5812
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Country | US
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Telephone | 407-963-9461
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA KRISTINE BUSH
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Credential | LMHC, BCBA
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Telephone | 407-963-9461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH7556
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-02-0748
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License Number State |
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