Provider Demographics
NPI:1497167399
Name:CLEAR SKY COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:CLEAR SKY COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH, QMHP
Authorized Official - Phone:605-430-5649
Mailing Address - Street 1:300 E MAIN ST LOT 51
Mailing Address - Street 2:
Mailing Address - City:HERMOSA
Mailing Address - State:SD
Mailing Address - Zip Code:57744-3304
Mailing Address - Country:US
Mailing Address - Phone:605-430-5649
Mailing Address - Fax:
Practice Address - Street 1:300 E MAIN ST LOT 51
Practice Address - Street 2:
Practice Address - City:HERMOSA
Practice Address - State:SD
Practice Address - Zip Code:57744-3304
Practice Address - Country:US
Practice Address - Phone:605-430-5649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty