Provider Demographics
NPI:1306690920
Name:CLEARVIEW MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:CLEARVIEW MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:PORRAS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP APRN DNP
Authorized Official - Phone:405-408-2152
Mailing Address - Street 1:5846 NW 72ND PL
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-6609
Mailing Address - Country:US
Mailing Address - Phone:405-492-1107
Mailing Address - Fax:405-260-9659
Practice Address - Street 1:5846 NW 72ND PL
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-6609
Practice Address - Country:US
Practice Address - Phone:405-492-1107
Practice Address - Fax:405-260-9659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty