MEDICARE: CLARITY MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1043194285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	2230 N UNIVERSITY PKWY STE 9D
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-1595
Country	:	US
Telephone Number	:	801-228-0656
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 N UNIVERSITY PKWY STE 9D
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-1595
Country	:	US
Telephone Number	:	801-228-0656
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RYANN KRETSCHMER
Credential	:
Telephone Number	:	801-228-0656

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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