Provider Demographics
NPI:1063260693
Name:CLEARVIEW PSYCHIATRY LLC
Entity type:Organization
Organization Name:CLEARVIEW PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DIONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:228-215-5030
Mailing Address - Street 1:770 WATER ST STE 487
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-4220
Mailing Address - Country:US
Mailing Address - Phone:228-215-5030
Mailing Address - Fax:228-203-3821
Practice Address - Street 1:770 WATER ST STE 487
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-4220
Practice Address - Country:US
Practice Address - Phone:228-215-5030
Practice Address - Fax:228-203-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty