Organization
CLEARLANE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WILDER-WHITING APRN, FNP-C, PMHNP-C (NURSE PRACTITIONER/OWNER)
(813) 444-2276
Entity
Organization
Contact information
Practice address
2780 E FOWLER AVE # 601, TAMPA, FL 33612-6297
(813) 444-2276
(614) 412-2522
Mailing address
2780 E FOWLER AVE # 601, TAMPA, FL 33612-6297
(813) 444-2276
(614) 412-2522
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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