Provider Demographics
NPI:1194149898
Name:CLARITY OF MIND COUNSELING, INC.
Entity type:Organization
Organization Name:CLARITY OF MIND COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:224-242-5110
Mailing Address - Street 1:164 DIVISION ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5587
Mailing Address - Country:US
Mailing Address - Phone:224-242-5110
Mailing Address - Fax:224-856-1350
Practice Address - Street 1:164 DIVISION ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5587
Practice Address - Country:US
Practice Address - Phone:224-242-5110
Practice Address - Fax:224-856-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-15
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0108631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty