Middleton, Clarissa Jo
Middleton, Clarissa Jo is an sole proprietor health care provider with primary practice located at 4040 Pinnacle Way , Hephzibah GA 30815-6135. She recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Military Health Care Provider, Other Service Providers / Research Study, Agencies / Local Education Agency (LEA), Agencies / Home Health, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Hospitals / Religious Nonmedical Health Care Institution, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Middleton, Clarissa Jo can be contacted via phone (863) 329-2510.Contact Information
Primary practice address
4040 Pinnacle Way
Hephzibah GA 30815-6135
Phone: (863) 329-2510
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Other Service Providers / Military Health Care Provider | 171000000X | ||
Other Service Providers / Research Study | 1744R1102X | ||
Agencies / Local Education Agency (LEA) | 251300000X | ||
Agencies / Home Health | 251E00000X | ||
Agencies / Public Health or Welfare | 251K00000X | ||
Agencies / Community/Behavioral Health | 251S00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | ||
Hospitals / Religious Nonmedical Health Care Institution | 282J00000X | ||
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
NPI number | 1861136277 |
---|---|
LBN Legal business name | Middleton, Clarissa Jo |
Credentials | P.H.D., M.ED. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 21st, 2022 |
Last updated | Apr 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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