Provider Demographics
NPI:1336881069
Name:JOHN CLARE,LMHC
Entity Type:Organization
Organization Name:JOHN CLARE,LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-282-2883
Mailing Address - Street 1:12360 66TH ST # H-5
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-3434
Mailing Address - Country:US
Mailing Address - Phone:727-282-2883
Mailing Address - Fax:727-539-0051
Practice Address - Street 1:12360 66TH ST # H-5
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-3434
Practice Address - Country:US
Practice Address - Phone:727-282-2883
Practice Address - Fax:727-539-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty