MEDICARE: CLARITY COUNSELING AND CONSULTATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1376392977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY COUNSELING AND CONSULTATION

Provider Business Mailing Address
First Line	:	197 E FRY BLVD
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-1847
Country	:	US
Telephone Number	:	520-895-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	197 E FRY BLVD
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-1847
Country	:	US
Telephone Number	:	520-895-0200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LISA BAILEY
Credential	:	LCSW
Telephone Number	:	520-508-9586

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	11/22/2025

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