Provider Demographics
NPI:1831504349
Name:INSTITUTE FOR CLARITY
Entity type:Organization
Organization Name:INSTITUTE FOR CLARITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PATI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-667-8992
Mailing Address - Street 1:11205 ALPHARETTA HIGHWAY
Mailing Address - Street 2:SUITE A5
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:770-667-8992
Mailing Address - Fax:770-667-8992
Practice Address - Street 1:11205 ALPHARETTA HIGHWAY
Practice Address - Street 2:SUITE A5
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-667-8992
Practice Address - Fax:770-667-8992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001816103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty