Provider Demographics
NPI:1174311021
Name:INNER CLARITY
Entity type:Organization
Organization Name:INNER CLARITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWAN RATTRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-723-3538
Mailing Address - Street 1:508 RIVER DELL TOWNES AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-8920
Mailing Address - Country:US
Mailing Address - Phone:919-723-3538
Mailing Address - Fax:
Practice Address - Street 1:4808 SIX FORKS RD # 4812
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5284
Practice Address - Country:US
Practice Address - Phone:984-274-3723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health