Organization
CLARITY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVAN YARLAGADDARAGHU PRASAD MD (CEO)
(248) 872-2400
Entity
Organization
Contact information
Practice address
1 E SUPERIOR ST, SUITE 306, CHICAGO, IL 60611-2507
(312) 754-9404
(312) 754-9402
Mailing address
1 E SUPERIOR ST, SUITE 306, CHICAGO, IL 60611-2507
(312) 789-4532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/15/2015
Last updated
09/10/2024
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