Provider Demographics
NPI:1871235846
Name:CLEAR PERSPECTIVE THERAPY, LLC
Entity Type:Organization
Organization Name:CLEAR PERSPECTIVE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MISENCIK
Authorized Official - Suffix:
Authorized Official - Credentials:MSSA, LISW-S
Authorized Official - Phone:440-305-0175
Mailing Address - Street 1:156 LEAR RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1908
Mailing Address - Country:US
Mailing Address - Phone:440-305-0175
Mailing Address - Fax:440-848-8666
Practice Address - Street 1:156 LEAR RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1908
Practice Address - Country:US
Practice Address - Phone:440-305-0175
Practice Address - Fax:440-848-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty