Provider Demographics
NPI:1932063336
Name:CLEAR MIND PSYCHIATRY AND WELLNESS
Entity type:Organization
Organization Name:CLEAR MIND PSYCHIATRY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KLING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:540-307-2732
Mailing Address - Street 1:100 N LOUDOUN ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-7401
Mailing Address - Country:US
Mailing Address - Phone:540-307-2732
Mailing Address - Fax:
Practice Address - Street 1:100 N LOUDOUN ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-7401
Practice Address - Country:US
Practice Address - Phone:540-307-2732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty