MEDICARE: CLARITHERAPY LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1508642851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITHERAPY LLC

Provider Business Mailing Address
First Line	:	2010 CHANDALAR DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-3541
Country	:	US
Telephone Number	:	907-830-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 CHANDALAR DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-3541
Country	:	US
Telephone Number	:	907-830-4050
Fax Number	:

Authorized Official
Title or Position	:	LICENSE PROFESSIONAL COUNSELOR
Name	:	CLARITA REQUENA-LAYTON
Credential	:	LPC
Telephone Number	:	907-830-4050

Provider Enumeration Date	:	09/04/2023
Last Update Date	:	09/04/2023

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Directions to “CLARITHERAPY LLC ” Practice Location

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