Provider Demographics
NPI:1144854860
Name:CLARITY COUNSELING GROUP. PLLC
Entity type:Organization
Organization Name:CLARITY COUNSELING GROUP. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, BC-TMH
Authorized Official - Phone:601-870-3905
Mailing Address - Street 1:11 ROSELAWN DR
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4069
Mailing Address - Country:US
Mailing Address - Phone:601-870-3905
Mailing Address - Fax:601-442-9294
Practice Address - Street 1:11 ROSELAWN DR
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4069
Practice Address - Country:US
Practice Address - Phone:601-870-3905
Practice Address - Fax:601-442-9294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARITY COUNSELING GROUP, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03620881Medicaid