# CLEARFIRE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861226342
- **Authorized official:** MICAELA WAMBOLDT (LPC)
- **Authorized official phone:** (480) 757-5885

## Contact information

- **Practice address:** 1904 W PARKSIDE LN, PHOENIX, AZ 85027-1228
- **Practice address phone:** (480) 757-5885
- **Mailing address:** 13353 W LARIAT LN, PEORIA, AZ 85383-5973
- **Mailing address phone:** (480) 757-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 10/07/2024