Provider Demographics
NPI:1073130555
Name:CLARAMENTE LLC
Entity Type:Organization
Organization Name:CLARAMENTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:LEESER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-667-3461
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-0487
Mailing Address - Country:US
Mailing Address - Phone:609-667-3461
Mailing Address - Fax:
Practice Address - Street 1:103 PENNSYVLANIA TRL
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015
Practice Address - Country:US
Practice Address - Phone:609-667-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty