EMERALD PATH THERAPY LLC NPI 1700629334

NPI Information

  • NPI: 1700629334
  • Provider Name: EMERALD PATH THERAPY LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2504 BEDFORD DR
    CHAMPAIGN, IL
    ZIP 61820
  • Phone: (331) 272-0272

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NPI Details

EMERALD PATH THERAPY LLC is a mental health counselor in Champaign, IL. EMERALD PATH THERAPY LLC NPI is 1700629334. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2504 BEDFORD DR
CHAMPAIGN, IL
ZIP 61820-706
Phone: (331) 272-0272

The provider's authorized official is Angie Mei Zhin Yong .
The authorized official title is Owner and has the following contact phone number (331) 272-0272.

The enumeration date for this NPI number is 6/12/2024 and was last updated on 6/18/2024.

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
1101YM0800XCounselorMental HealthYes
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo

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: 3/30/2025

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