Provider Demographics
NPI:1639754716
Name:CLARITY OF MIND COUNSELING LLC
Entity Type:Organization
Organization Name:CLARITY OF MIND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-307-5544
Mailing Address - Street 1:195 ROOSEVELT DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-2119
Mailing Address - Country:US
Mailing Address - Phone:203-668-9151
Mailing Address - Fax:
Practice Address - Street 1:525 BRIDGEPORT AVE STE 105
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4700
Practice Address - Country:US
Practice Address - Phone:203-668-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2023-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty