Provider Demographics
NPI:1215269758
Name:CLARITY COUNSELING & PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:CLARITY COUNSELING & PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLEVENGER-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:512-963-7407
Mailing Address - Street 1:11 COACH HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-9315
Mailing Address - Country:US
Mailing Address - Phone:512-963-7407
Mailing Address - Fax:512-697-8279
Practice Address - Street 1:4534 WESTGATE BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1485
Practice Address - Country:US
Practice Address - Phone:512-963-7407
Practice Address - Fax:512-697-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty