Organization
CLEARSTONE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVENS MICHEL (CEO)
(407) 462-7233
Entity
Organization
Contact information
Practice address
4497 POWDERHORN PLACE DR, CLERMONT, FL 34711-8929
(352) 205-3479
Mailing address
4497 POWDERHORN PLACE DR, CLERMONT, FL 34711-8929
(352) 205-3479
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
01/19/2021
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