| Reclaiming Clarity Therapy And Consultation Services Pllc | |
|
23200 John R Rd Unit 122 Hazel Park MI 48030-7004 | |
| (248) 206-0470 | |
| Not Available |
| Full Name | Reclaiming Clarity Therapy And Consultation Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 23200 John R Rd Unit 122, Hazel Park, Michigan |
| Authorized Official Name and Position | Alicia R. Jackson (OWNER) |
| Authorized Official Contact | 2482060470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaiming Clarity Therapy And Consultation Services Pllc 23200 John R Rd Unit 122 Hazel Park MI 48030-7004 Ph: (248) 206-0470 | Reclaiming Clarity Therapy And Consultation Services Pllc 23200 John R Rd Unit 122 Hazel Park MI 48030-7004 Ph: (248) 206-0470 |
| NPI Number | 1780400200 |
|---|---|
| Provider Enumeration Date | 11/30/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 0345777603 |
|---|---|
| Medicare Enrollment ID | O20241226003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780400200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alicia Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689913147 PECOS PAC ID: 3870020043 Enrollment ID: I20241230002040 |
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