# CLEAR VISION COLLABORATIVE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972207074
- **Authorized official:** JOSEPH WAYLON DABBS (SUPERVISOR)
- **Authorized official phone:** (270) 784-5003

## Contact information

- **Practice address:** 2521 ORIOLE ST, BOWLING GREEN, KY 42101-5242
- **Practice address phone:** (270) 938-0001
- **Mailing address:** 2521 ORIOLE ST, BOWLING GREEN, KY 42101-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023