CLEAR WATER THERAPY NPI 1144861576

NPI Information

  • NPI: 1144861576
  • Provider Name: CLEAR WATER THERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1202 HOMELIFE PLZ
    ROLLA, MO
    ZIP 65401
  • Phone: (573) 308-1540

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NPI Details

CLEAR WATER THERAPY is a mental health counselor in Rolla, MO. CLEAR WATER THERAPY NPI is 1144861576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1202 HOMELIFE PLZ
ROLLA, MO
ZIP 65401-512
Phone: (573) 308-1540

The provider's authorized official is Rebecca Sidwell .
The authorized official title is Owner and has the following contact phone number (303) 704-1967.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 11/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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