Clarity Health Llc | |
2054 Dauphin St Mobile AL 36606-1929 | |
(251) 635-4541 | |
(251) 217-7933 |
Full Name | Clarity Health Llc |
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Speciality | Psychologist |
Location | 2054 Dauphin St, Mobile, Alabama |
Authorized Official Name and Position | Jack Christopher Carney (OWNER) |
Authorized Official Contact | 2516354541 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clarity Health Llc 2054 Dauphin St Mobile AL 36606-1929 Ph: (251) 635-4541 | Clarity Health Llc 2054 Dauphin St Mobile AL 36606-1929 Ph: (251) 635-4541 |
NPI Number | 1932614369 |
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Provider Enumeration Date | 12/07/2017 |
Last Update Date | 12/07/2017 |
Medicare PECOS PAC ID | 8628314028 |
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Medicare Enrollment ID | O20190222002468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932614369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1374 (Alabama) | Primary |
207R00000X | Internal Medicine | 1129637 (Alabama) | Secondary |
Provider Name | Jack C Carney |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386617512 PECOS PAC ID: 4082622824 Enrollment ID: I20060405000205 |
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