Provider Demographics
NPI:1912885609
Name:CLARITY MENTAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:CLARITY MENTAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:THIBODEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:757-478-9159
Mailing Address - Street 1:232 WILLIAM BARKSDALE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8208
Mailing Address - Country:US
Mailing Address - Phone:757-478-9158
Mailing Address - Fax:866-485-9945
Practice Address - Street 1:352 MCLAWS CIR STE 4
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6347
Practice Address - Country:US
Practice Address - Phone:757-478-9158
Practice Address - Fax:866-485-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)