MEDICARE: CLARITY COUNSELING SERVICES CO.

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	1041C0700X	Clinical Social Worker

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

General Provider Information

NPI Number	:	1790180461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY COUNSELING SERVICES CO.

Provider Business Mailing Address
First Line	:	3122 MAHAN DR STE 801-135
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-2500
Country	:	US
Telephone Number	:	850-583-1651
Fax Number	:

Provider Business Practice Location Address
First Line	:	3122 MAHAN DR STE 801-135
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-2500
Country	:	US
Telephone Number	:	850-583-1651
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ANA M VILLAR
Credential	:	LCSW
Telephone Number	:	850-583-1651

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	02/09/2022

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