Provider Demographics
NPI:1073994950
Name:CLEAR VIEW COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:CLEAR VIEW COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:CUSACK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:410-281-9430
Mailing Address - Street 1:1819 BAY RIDGE AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-2835
Mailing Address - Country:US
Mailing Address - Phone:443-281-9430
Mailing Address - Fax:443-782-2446
Practice Address - Street 1:1819 BAY RIDGE AVE STE 190
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-2835
Practice Address - Country:US
Practice Address - Phone:443-281-9430
Practice Address - Fax:443-782-2446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty