Provider Demographics
NPI:1114489671
Name:CLARITY COUNSELING, LLC
Entity Type:Organization
Organization Name:CLARITY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-415-2554
Mailing Address - Street 1:553 MEMORIAL DRIVE EXT UNIT L
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1151
Mailing Address - Country:US
Mailing Address - Phone:864-415-2554
Mailing Address - Fax:864-202-4414
Practice Address - Street 1:306B W POINSETT ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1548
Practice Address - Country:US
Practice Address - Phone:864-453-1718
Practice Address - Fax:864-202-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP6762Medicaid