MEDICARE: MENTAL CLARITY BEHAVIORAL HEALTH

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134818289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL CLARITY BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	3469 W BOYNTON BEACH BLVD STE 2-1237
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3469 W BOYNTON BEACH BLVD STE 2-1237
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4611
Country	:	US
Telephone Number	:	954-649-9569
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELANA KAYA-JENKINS
Credential	:
Telephone Number	:	954-649-9569

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

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Directions to “MENTAL CLARITY BEHAVIORAL HEALTH ” Practice Location

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