Provider Demographics
NPI:1407478498
Name:CLEAR THOUGHTS HEALTHCARE LLC
Entity Type:Organization
Organization Name:CLEAR THOUGHTS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:
Authorized Official - First Name:IFEOLUWA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINDUNBI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:908-463-7625
Mailing Address - Street 1:14 MARLBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2020
Mailing Address - Country:US
Mailing Address - Phone:908-463-7625
Mailing Address - Fax:
Practice Address - Street 1:2386 MORRIS AVENUE MANHATTAN LIGHTING BUILDING
Practice Address - Street 2:SUITE 107-109
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-0884
Practice Address - Country:US
Practice Address - Phone:908-557-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)