NPI 1154680452 · live from the CMS NPI Registry
A Healing Path Counseling LLC
Social Worker, Clinical in Bangor, PA. National Provider Identifier 1154680452, active.
NPI record
| NPI | 1154680452 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 159 Blue Valley Dr, Bangor, PA 18013 |
| Practice phone | 610-452-9199 |
| Enumerated | May 8, 2012 |
| Last updated | November 16, 2012 |
| Authorized official | Andrew Rachlin, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | PC003341 (PA) |
| Social Worker, Clinical | 1041C0700X | CW016549 (PA) |
| Social Worker, Clinical | 1041C0700X | CW017025 (PA) |
| Social Worker, Clinical primary | 1041C0700X | CW014501 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.