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Organization
ILLAHEE HOME CORP
Active
Organization
ILLAHEE HOME CORP
Active
Other names
Clarity Mental Health and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RYAN FROST LMHC, SUDP (PRESIDENT)
(360) 676-4485
Entity
Organization
Contact information
Practice address
1155 N STATE ST, BELLINGHAM, WA 98225-5037
(360) 676-4485
(360) 714-1294
Mailing address
1155 N STATE ST, BELLINGHAM, WA 98225-5037
(360) 676-4485
(360) 714-1294
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
175F00000X
Naturopath
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200984
—
WA
Enumeration date
11/16/2010
Last updated
09/17/2026
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