1245553957 NPI number — CLEARPATH COUNSELING SERVICE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245553957 NPI number — CLEARPATH COUNSELING SERVICE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLEARPATH COUNSELING SERVICE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245553957
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3355 LENOX RD NE STE 750
Provider Second Line Business Mailing Address:
STE 2919
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30326-1353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-250-3230
Provider Business Mailing Address Fax Number:
404-250-3270

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3355 LENOX RD NE
Provider Second Line Business Practice Location Address:
STE 750
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30326-1394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-250-3230
Provider Business Practice Location Address Fax Number:
404-250-3270
Provider Enumeration Date:
03/09/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
RAUSHANAH
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-598-8738

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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