Provider Demographics
NPI:1023686052
Name:CLEAR VIEW MARRIAGE AND FAMILY THERAPY, PLLC
Entity type:Organization
Organization Name:CLEAR VIEW MARRIAGE AND FAMILY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NIRVEETA
Authorized Official - Middle Name:DEVIKA
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:347-260-7216
Mailing Address - Street 1:3682 BAYVIEW ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3344
Mailing Address - Country:US
Mailing Address - Phone:347-260-7216
Mailing Address - Fax:
Practice Address - Street 1:101 HILLSIDE AVE STE D
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2310
Practice Address - Country:US
Practice Address - Phone:347-829-4021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health