CLEARSTONE GROUP NPI 1952777856

NPI Information

NPI: 1952777856
Provider Name: CLEARSTONE GROUP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 10D2251176

Address:
4497 POWDERHORN PLACE DR
CLERMONT, FL
ZIP 34711
Phone: (352) 205-3479
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CLEARSTONE GROUP is a psychiatric/mental health nurse practitioner in Clermont, FL. CLEARSTONE GROUP NPI is 1952777856. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4497 POWDERHORN PLACE DR
CLERMONT, FL
ZIP 34711-929
Phone: (352) 205-3479

The provider's authorized official is Evens Michel .
The authorized official title is Ceo and has the following contact phone number (407) 462-7233.

The CLIA number assigned to this NPI record is 10D2251176 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2015 and was last updated on 1/19/2021.

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	Primary
1	103K00000X	Behavior Analyst		No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	310400000X	Assisted Living Facility		No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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