Provider Demographics
NPI:1144604828
Name:CLEAR VIEW CONSULTING AND BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:CLEAR VIEW CONSULTING AND BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:JAYE
Authorized Official - Last Name:LEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-230-2199
Mailing Address - Street 1:70 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65655-7633
Mailing Address - Country:US
Mailing Address - Phone:417-230-2199
Mailing Address - Fax:
Practice Address - Street 1:70 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65655-7633
Practice Address - Country:US
Practice Address - Phone:417-230-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2345-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health