Provider Demographics
NPI:1285204131
Name:CLEARVISION COUNSELING LLC
Entity Type:Organization
Organization Name:CLEARVISION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:
Authorized Official - First Name:WAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-400-3701
Mailing Address - Street 1:20435 NEEDLETREE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3488
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20435 NEEDLETREE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3488
Practice Address - Country:US
Practice Address - Phone:813-400-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health