Provider Demographics
NPI:1922880467
Name:CLARITY AND WELLNESS PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:CLARITY AND WELLNESS PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:BATES
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:804-803-3502
Mailing Address - Street 1:10221 KRAUSE RD UNIT 1173
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-1251
Mailing Address - Country:US
Mailing Address - Phone:804-803-3502
Mailing Address - Fax:484-200-4482
Practice Address - Street 1:428 MCLAWS CIR STE 200
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5654
Practice Address - Country:US
Practice Address - Phone:804-803-3502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty