Provider Demographics
NPI:1447959010
Name:PERFECTLY MPERFECT COUNSELING
Entity type:Organization
Organization Name:PERFECTLY MPERFECT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC, LMFT, MCAP
Authorized Official - Phone:754-216-9720
Mailing Address - Street 1:1205 S FLAGLER AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8696
Mailing Address - Country:US
Mailing Address - Phone:216-338-8452
Mailing Address - Fax:
Practice Address - Street 1:1205 S FLAGLER AVE APT 411
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8696
Practice Address - Country:US
Practice Address - Phone:542-169-7207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty