YOUR PATH COUNSELING CENTER LLC (NPI# 1134680796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134680796 |
Entity Type | Organization |
Organization Name | YOUR PATH COUNSELING CENTER LLC |
Practice Address |
104 N Railroad Ave Ste A Ashland VA 23005-1528 |
Practice Telephone | 8047985327 |
Mailing Telephone | 8047985327 |
Enumeration Date | 2019-03-27 |
Last Update Date | 2019-03-27 |
Authorized Official Name | EDERIS YAZMIRA MARTINEZ-CUNION (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Telephone | 8047985327 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
104 N RAILROAD AVE STE A |
City | ASHLAND |
State | VA |
Zip Code | 23005-1528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265076855 | Drew Gaurke | Student in an Organized Health Care Education/Training Program | 10283 Lakeridge Sqaure Ct., Apt K, Ashland, VA 23005 | 2019-11-06 |
1962973214 | Diane Turner Carter | Speech-Language Pathologist | 100 England Street; #2214, Ashland, VA 23005 | 2018-12-16 |
1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
1265937783 | Mary Leffler | Occupational Therapist | 200 Berkley St., Ashland, VA 23005 | 2018-03-27 |
1508361080 | Janna Cole | Occupational Therapy Assistant | 906 Thompson St., Ashland, VA 23005 | 2018-03-27 |
1114305067 | Companion Extraordinaire Home Health Care | Respite Care | 112 England Street, Suite A, Ashland, VA 23005 | 2015-05-12 |
1245633981 | Colleen Mcmahon | Occupational Therapist | 100 England St., Ashland, VA 23005 | 2014-10-08 |
1255483871 | J Neil Turnage | Dentist | 10500 Atlee Station Road, Ashland, VA 23005 | 2007-01-16 |
1982612370 | Wendy Harris Haupt | Social Worker | 201 N Washington Hwy Ste 207, Ashland, VA 23005 | 2006-08-03 |
1841250032 | Christine Heuston Lessels | Nurse Practitioner | Hanover Health District, 12312 Washington Highway, Ashland, VA 23005 | 2006-03-23 |
Find all providers in zip 23005 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.