MEDICARE: A NEW PATH COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	67191	TX

General Provider Information

NPI Number	:	1114340247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW PATH COUNSELING CENTER

Provider Business Mailing Address
First Line	:	329 OAKS TRL
Second Line	:	STE. #102
City	:	GARLAND
State	:	TX
Zip	:	75043-4092
Country	:	US
Telephone Number	:	972-916-9396
Fax Number	:

Provider Business Practice Location Address
First Line	:	329 OAKS TRL
Second Line	:	STE. #102
City	:	GARLAND
State	:	TX
Zip	:	75043-4092
Country	:	US
Telephone Number	:	972-916-9396
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	KIMBERLY N KIRK
Credential	:	L.P.C.
Telephone Number	:	972-916-9396

Provider Enumeration Date	:	01/24/2014
Last Update Date	:	01/24/2014

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Directions to “A NEW PATH COUNSELING CENTER ” Practice Location

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