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Organization
BLISSFUL CLARITY INC
Active
Organization
BLISSFUL CLARITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAI MANEK (CEO)
(307) 466-7772
Entity
Organization
Contact information
Practice address
30 N GOULD ST # 50478, SHERIDAN, WY 82801-6317
(307) 466-7772
Mailing address
30 N GOULD ST # 50478, SHERIDAN, WY 82801-6317
(307) 466-7772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/03/2025
Last updated
04/24/2025
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