Organization
ILLAHEE HOME CORP
Active
Other names
Clarity Mental Health and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY 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
—
—
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
01/07/2025
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