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General NPI Number Information
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NPI Number | 1922953983
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Entity Type | Organization
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Legal Business Name | CLEARVISTA WELLNESS, PLLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 39393 VAN DYKE AVE STE 209
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4637
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Country | US
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Telephone | 586-242-2666
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Fax | 586-500-9565
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Provider Business Mailing Address
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Address Line | 39423 VAN DYKE AVE APT 404
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4642
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Country | US
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Telephone | 586-242-2666
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Fax | 586-500-9565
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Authorized Official
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Title or Position | OWNER
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Name | LAURA SHOSHI
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Credential | MSW, LMSW-C
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Telephone | 586-242-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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