Provider Demographics
NPI:1255896809
Name:CLARITY COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:CLARITY COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUBON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-582-9321
Mailing Address - Street 1:7905 ANGELICA LN APT 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3085
Mailing Address - Country:US
Mailing Address - Phone:704-582-9321
Mailing Address - Fax:
Practice Address - Street 1:13850 BALLANTYNE CORPORATE PL STE 500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2830
Practice Address - Country:US
Practice Address - Phone:704-582-9321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty