Provider Demographics
NPI:1043701014
Name:CLEARMAN COUNSELING AND MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:CLEARMAN COUNSELING AND MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-422-9448
Mailing Address - Street 1:414 N BENTON AVE STE F
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5040
Mailing Address - Country:US
Mailing Address - Phone:406-422-9448
Mailing Address - Fax:
Practice Address - Street 1:414 N BENTON AVE STE F
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5040
Practice Address - Country:US
Practice Address - Phone:406-422-9448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
MTBBH-LCPC-LIC-30456251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health