> Service A => User: Please Enter Your Phone Number and Email
> Service A => Clearinghouse: Please verify phone number XXX wants to sign up for an account with us
> Clearinghouse => User (SMS): Please respond with the Email you used at signup to confirm you want an account with Service A
Later...
> Service B => User: Please Enter Your phone number and Email
> Service B => Clearinghouse: Please verify phone number XXX wants to sign up for an account with us
> Clearinghouse => User (Email): Please verify you want an account with Service B
Not saying it's great (providing email twice is annoying), but it's something.