Provider Demographics
NPI:1508642851
Name:CLARITHERAPY LLC
Entity Type:Organization
Organization Name:CLARITHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:REQUENA-LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-830-4050
Mailing Address - Street 1:2010 CHANDALAR DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-3541
Mailing Address - Country:US
Mailing Address - Phone:907-830-4050
Mailing Address - Fax:
Practice Address - Street 1:2010 CHANDALAR DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-3541
Practice Address - Country:US
Practice Address - Phone:907-830-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty