Provider Demographics
NPI:1306670831
Name:MOMENTS OF CLARITY LLC
Entity type:Organization
Organization Name:MOMENTS OF CLARITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-808-9394
Mailing Address - Street 1:24320 RENSSELAER ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1781
Mailing Address - Country:US
Mailing Address - Phone:248-808-9394
Mailing Address - Fax:
Practice Address - Street 1:17800 NORTHLAND PARK CT STE 108B
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4304
Practice Address - Country:US
Practice Address - Phone:313-444-3557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty