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NPI Code Detail

MEDICARE: CLARITY FAMILY THERAPY SERVICES INC.

MEDICARE: CLARITY FAMILY THERAPY SERVICES INC.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1457962680
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARITY FAMILY THERAPY SERVICES INC.
Provider Business Mailing Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Provider Business Practice Location Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TINA BESIMANTO
Credential : LMFT
Telephone Number : 818-335-5200
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/13/2020

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Directions to “CLARITY FAMILY THERAPY SERVICES INC. ” Practice Location

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