Provider Demographics
NPI:1467349001
Name:CLARITY MIND BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:CLARITY MIND BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:ANTONETTE MARIE
Authorized Official - Middle Name:LIGO
Authorized Official - Last Name:PASQUIL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:346-669-4817
Mailing Address - Street 1:3414 RIVERSIDE GLEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2595
Mailing Address - Country:US
Mailing Address - Phone:346-669-4817
Mailing Address - Fax:702-745-0675
Practice Address - Street 1:3414 RIVERSIDE GLEN LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2595
Practice Address - Country:US
Practice Address - Phone:346-669-4817
Practice Address - Fax:702-745-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty