| Clarity Health Llc | |
|
2054 Dauphin St Mobile AL 36606-1929 | |
| (251) 635-4541 | |
| (251) 217-7933 |
| Full Name | Clarity Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2054 Dauphin St, Mobile, Alabama |
| Authorized Official Name and Position | Jack Christopher Carney (OWNER) |
| Authorized Official Contact | 2516354541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Health Llc 2054 Dauphin St Mobile AL 36606-1929 Ph: (251) 635-4541 | Clarity Health Llc 2054 Dauphin St Mobile AL 36606-1929 Ph: (251) 635-4541 |
| NPI Number | 1932614369 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Medicare PECOS PAC ID | 8628314028 |
|---|---|
| Medicare Enrollment ID | O20190222002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932614369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1374 (Alabama) | Primary |
| 207R00000X | Internal Medicine | 1129637 (Alabama) | Secondary |
| Provider Name | Jack C Carney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386617512 PECOS PAC ID: 4082622824 Enrollment ID: I20060405000205 |
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