| Clarity Counseling And Mediation Inc | |
|
483 N Mulford Rd Suite 4 Rockford IL 61107-5191 | |
| (815) 520-2303 | |
| (815) 977-5984 |
| Full Name | Clarity Counseling And Mediation Inc |
|---|---|
| Speciality | Social Worker |
| Location | 483 N Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Stephanie Anne Johnson (PARTNER/LCSW) |
| Authorized Official Contact | 8157031001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Counseling And Mediation Inc 483 N Mulford Rd Suite 4 Rockford IL 61107-5191 Ph: (815) 520-2303 | Clarity Counseling And Mediation Inc 483 N Mulford Rd Suite 4 Rockford IL 61107-5191 Ph: (815) 520-2303 |
| NPI Number | 1780647651 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 05/27/2016 |
| Medicare PECOS PAC ID | 3678869179 |
|---|---|
| Medicare Enrollment ID | O20160909000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780647651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149009491 (Illinois) | Primary |
| Provider Name | Stephanie Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023235983 PECOS PAC ID: 5193989192 Enrollment ID: I20120601000515 |
| Provider Name | Kelsey Lanou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235809393 PECOS PAC ID: 9133518137 Enrollment ID: I20211112001617 |
| Provider Name | Beth Mutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619521945 PECOS PAC ID: 9234586355 Enrollment ID: I20240207001770 |
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