MEDICARE: MENTAL CLARITY & WELLNESS 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1740143965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL CLARITY & WELLNESS LLC

Provider Business Mailing Address
First Line	:	2516 SILVER ROCK DR
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60403-8906
Country	:	US
Telephone Number	:	630-528-1427
Fax Number	:	630-953-5571

Provider Business Practice Location Address
First Line	:	2516 SILVER ROCK DR
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60403-8906
Country	:	US
Telephone Number	:	630-528-1427
Fax Number	:	630-953-5571

Authorized Official
Title or Position	:	PMHNP-BC, FNP-BC, FPA
Name	:	DR. GHANA AKUA DORSEY
Credential	:	DNP
Telephone Number	:	630-528-1427

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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