Provider Demographics
NPI:1598373565
Name:CLEAR MIND COUNSELING
Entity Type:Organization
Organization Name:CLEAR MIND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELIZ
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:609-742-5624
Mailing Address - Street 1:PO BOX 745
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-0745
Mailing Address - Country:US
Mailing Address - Phone:609-742-5624
Mailing Address - Fax:609-552-0077
Practice Address - Street 1:1402 DOUGHTY RD STE 201
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5640
Practice Address - Country:US
Practice Address - Phone:609-277-5437
Practice Address - Fax:609-552-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty