Provider Demographics
NPI:1518352988
Name:CLARITY CONNECTION, LLC
Entity Type:Organization
Organization Name:CLARITY CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:360-375-7103
Mailing Address - Street 1:PO BOX 996
Mailing Address - Street 2:
Mailing Address - City:EASTSOUND
Mailing Address - State:WA
Mailing Address - Zip Code:98245-0996
Mailing Address - Country:US
Mailing Address - Phone:360-375-7103
Mailing Address - Fax:206-407-3480
Practice Address - Street 1:374 N BEACH RD
Practice Address - Street 2:
Practice Address - City:EASTSOUND
Practice Address - State:WA
Practice Address - Zip Code:98245-8962
Practice Address - Country:US
Practice Address - Phone:360-375-7103
Practice Address - Fax:206-407-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60497642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty