Provider Demographics
NPI:1801211503
Name:MOMENTS OF CLARITY, LLC
Entity Type:Organization
Organization Name:MOMENTS OF CLARITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LADC
Authorized Official - Phone:918-734-2983
Mailing Address - Street 1:2604 W KENOSHA ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-8955
Mailing Address - Country:US
Mailing Address - Phone:918-734-2983
Mailing Address - Fax:918-876-4487
Practice Address - Street 1:2604 W KENOSHA ST STE 205
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-8955
Practice Address - Country:US
Practice Address - Phone:918-734-2983
Practice Address - Fax:918-876-4487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health