Wellformed AI

NPI 1730712126 · live from the CMS NPI Registry

A Chosen Path Counseling And Consulting Services, PLLC

Counselor, Professional in Grand Prairie, TX. National Provider Identifier 1730712126, active.

NPI record

NPI1730712126 Type 2 · organization
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location4683 Betts Dr Ste 403, Grand Prairie, TX 75052
Practice phone972-890-6101
EnumeratedFebruary 13, 2020
Last updatedFebruary 13, 2020
Authorized officialRasheda Warren, Member

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Counselor, Professional primary101YP2500X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.