Provider Demographics
NPI:1679469068
Name:CULTIVATING CLARITY WITHIN
Entity type:Organization
Organization Name:CULTIVATING CLARITY WITHIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LGPC, NCC
Authorized Official - Phone:202-247-5564
Mailing Address - Street 1:4604 SAUL RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-4221
Mailing Address - Country:US
Mailing Address - Phone:202-247-5564
Mailing Address - Fax:
Practice Address - Street 1:4405 E WEST HWY STE 602
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4537
Practice Address - Country:US
Practice Address - Phone:301-750-8295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CULTIVATING CLARITY WITHIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty