PATHWAYS TO REVELATION LLC NPI 1003419961

NPI Information

NPI: 1003419961
Provider Name: PATHWAYS TO REVELATION, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1064 W HIGHWAY 50 STE 219
CLERMONT, FL
ZIP 34711
Phone: (407) 588-7466
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PATHWAYS TO REVELATION, LLC is a mental health counselor in Clermont, FL. PATHWAYS TO REVELATION, LLC NPI is 1003419961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1064 W HIGHWAY 50 STE 219
CLERMONT, FL
ZIP 34711-835
Phone: (407) 588-7466

The provider's authorized official is Miquia Chavonne Thompson .
The authorized official title is Owner/therapist and has the following contact phone number (407) 588-7466.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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