Provider Demographics
NPI:1023205473
Name:CLEARVIEW COUNSELING, LLC
Entity Type:Organization
Organization Name:CLEARVIEW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / CLINICAL DFIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:SHUMPERT
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:623-433-8875
Mailing Address - Street 1:7141 N 51ST AVE
Mailing Address - Street 2:SUITE D 3
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2631
Mailing Address - Country:US
Mailing Address - Phone:623-433-8875
Mailing Address - Fax:623-433-8985
Practice Address - Street 1:7141 N 51ST AVE
Practice Address - Street 2:SUITE D 3
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2631
Practice Address - Country:US
Practice Address - Phone:623-433-8875
Practice Address - Fax:623-433-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 11606320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness