NPI Code Details Logo

NPI 1740162478

NPI 1740162478 : KLARITY BEHAVIORAL HEALTH LLC : RIVERDALE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740162478
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KLARITY BEHAVIORAL HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/23/2025
-----------------------------------------------------
    Last Update Date     |    07/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6801 KENILWORTH AVE STE 300 
-----------------------------------------------------
    City                 |    RIVERDALE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20737-1331
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-838-6354
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6801 KENILWORTH AVE STE 300 
-----------------------------------------------------
    City                 |    RIVERDALE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20737-1331
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-838-6354
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/OWNER
-----------------------------------------------------
    Name                 |     AKUNNA CHISOM IKOCHA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    240-938-8623
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.