Provider Demographics
NPI:1720591456
Name:CLEAR DIRECTIONS COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:CLEAR DIRECTIONS COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SMOKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-400-1848
Mailing Address - Street 1:4480 GENERAL DEGAULLE DR STE 221
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-6306
Mailing Address - Country:US
Mailing Address - Phone:904-400-1848
Mailing Address - Fax:
Practice Address - Street 1:4480 GENERAL DEGAULLE DR STE 221
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6306
Practice Address - Country:US
Practice Address - Phone:504-564-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty