NPI 1043979347 · live from the CMS NPI Registry
A New Path Psychotherapy, Apc
Marriage & Family Therapist in La Mesa, CA. National Provider Identifier 1043979347, active.
NPI record
| NPI | 1043979347 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4323 Palm Ave Ste A, La Mesa, CA 91941 |
| Practice phone | 619-315-8909 |
| Mailing address | 776 Callecita Aquilla Sur, Chula Vista, CA 91911 |
| Enumerated | December 14, 2021 |
| Last updated | December 14, 2021 |
| Authorized official | Johanna Bravo-Montes, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.