Provider Demographics
NPI:1497516884
Name:CLINICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CLINICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,LPCC
Authorized Official - Phone:505-803-7459
Mailing Address - Street 1:8131 W 400 N
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-9690
Mailing Address - Country:US
Mailing Address - Phone:505-803-7459
Mailing Address - Fax:
Practice Address - Street 1:8131 W 400 N
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-9690
Practice Address - Country:US
Practice Address - Phone:505-803-7459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health