Provider Demographics
NPI:1477768570
Name:CLARITY COUNSELING, INC.
Entity Type:Organization
Organization Name:CLARITY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:OLGUIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:505-321-1450
Mailing Address - Street 1:PO BOX 13385
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87192-3385
Mailing Address - Country:US
Mailing Address - Phone:505-321-1345
Mailing Address - Fax:505-294-1095
Practice Address - Street 1:1044 WESTERFELD DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5259
Practice Address - Country:US
Practice Address - Phone:505-321-1345
Practice Address - Fax:505-294-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0089471101Y00000X
NM0097041101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM06557023Medicaid