Provider Demographics
NPI:1528707833
Name:THE CLARITY LOFT, PLLC
Entity type:Organization
Organization Name:THE CLARITY LOFT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:THORNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-529-3189
Mailing Address - Street 1:2112 REDGATE DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-1003
Mailing Address - Country:US
Mailing Address - Phone:757-529-3189
Mailing Address - Fax:
Practice Address - Street 1:1910 PACIFIC AVE STE 6070
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-4532
Practice Address - Country:US
Practice Address - Phone:757-529-3189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty