Provider Demographics
NPI:1487546131
Name:CLEAR SKIES WELLNESS LLC
Entity type:Organization
Organization Name:CLEAR SKIES WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-478-9683
Mailing Address - Street 1:559 ADDINGTON LN
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9613
Mailing Address - Country:US
Mailing Address - Phone:734-478-9683
Mailing Address - Fax:
Practice Address - Street 1:777 E EISENHOWER PKWY STE 230
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3273
Practice Address - Country:US
Practice Address - Phone:734-215-7036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)