Provider Demographics
NPI:1255158390
Name:CLARITYPOINT COUNSELING GROUP LLC
Entity type:Organization
Organization Name:CLARITYPOINT COUNSELING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURBANK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:219-465-8800
Mailing Address - Street 1:307 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5023
Mailing Address - Country:US
Mailing Address - Phone:219-281-6014
Mailing Address - Fax:
Practice Address - Street 1:307 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5023
Practice Address - Country:US
Practice Address - Phone:219-281-6014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty