| Your Path Counseling Center Llc | |
|
104 N Railroad Ave Ste A Ashland VA 23005-1528 | |
| (804) 798-5327 | |
| Not Available |
| Full Name | Your Path Counseling Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 104 N Railroad Ave Ste A, Ashland, Virginia |
| Authorized Official Name and Position | Ederis Yazmira Martinez-cunion (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8047985327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Path Counseling Center Llc 104 N Railroad Ave Ste A Ashland VA 23005-1528 Ph: (804) 798-5327 | Your Path Counseling Center Llc 104 N Railroad Ave Ste A Ashland VA 23005-1528 Ph: (804) 798-5327 |
| NPI Number | 1134680796 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134680796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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