| Clarity Ohio | |
|
2602 Oakstone Dr Columbus OH 43231-7613 | |
| (614) 259-8709 | |
| (614) 569-2331 |
| Full Name | Clarity Ohio |
|---|---|
| Speciality | Counselor |
| Location | 2602 Oakstone Dr, Columbus, Ohio |
| Authorized Official Name and Position | Holly Michelle Smith (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6142598709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Ohio 2602 Oakstone Dr Columbus OH 43231-7613 Ph: (614) 259-8709 | Clarity Ohio 2602 Oakstone Dr Columbus OH 43231-7613 Ph: (614) 259-8709 |
| NPI Number | 1306324991 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 5496121980 |
|---|---|
| Medicare Enrollment ID | O20221025002535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306324991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161354 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.0500661-SUPV (Ohio) | Primary |
| Provider Name | Debra L Tindall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033862214 PECOS PAC ID: 3678504297 Enrollment ID: I20221025002745 |
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