Provider Demographics
NPI:1659748309
Name:CLARITY COUNSELING CENTER OF ELLIS COUNTY INC
Entity Type:Organization
Organization Name:CLARITY COUNSELING CENTER OF ELLIS COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KIRBY
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-693-7382
Mailing Address - Street 1:PO BOX 2262
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-1574
Mailing Address - Country:US
Mailing Address - Phone:214-693-7382
Mailing Address - Fax:
Practice Address - Street 1:215 W FRANKLIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-3617
Practice Address - Country:US
Practice Address - Phone:214-693-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty