Provider Demographics
NPI:1619000304
Name:CLEARVIEW OUTPATIENT SERVICES INC.
Entity Type:Organization
Organization Name:CLEARVIEW OUTPATIENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:573-348-3010
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065-0115
Mailing Address - Country:US
Mailing Address - Phone:573-348-3010
Mailing Address - Fax:573-348-1858
Practice Address - Street 1:1191 HIGHWAY KK
Practice Address - Street 2:SUITE 101
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065-3510
Practice Address - Country:US
Practice Address - Phone:573-348-3010
Practice Address - Fax:573-348-1858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00208103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty