Basic Information
| Provider Information | |||||||||
| NPI: | 1225629462 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 740 W BROADWAY STREET | ||||||||
| Address2: | |||||||||
| City: | STERLING | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9705266577 | ||||||||
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| Practice Location | |||||||||
| Address1: | 740 W BROADWAY STREET | ||||||||
| Address2: | |||||||||
| City: | STERLING | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9705266577 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2021 | ||||||||
| LastUpdateDate: | 01/31/2021 | ||||||||
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| AuthorizedOfficialLastName: | MCCAULEY | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | LPC/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9705266577 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER, LLC | ||||||||
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| NPICertificationDate: | 01/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.