MEDICARE: CLARITY COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	251B00000X	Case Management Agency
3	101YP2500X	Professional Counselor

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295393346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	PO BOX 536
Second Line	:
City	:	WHITLEY CITY
State	:	KY
Zip	:	42653
Country	:	US
Telephone Number	:	606-875-7097
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 S MAIN ST
Second Line	:
City	:	WHITLEY CITY
State	:	KY
Zip	:	42653-6043
Country	:	US
Telephone Number	:	606-875-7097
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES WALTERS
Credential	:
Telephone Number	:	606-875-7097

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	01/31/2023

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