MEDICARE: INNERPATH MENTAL HEALTH PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1790617108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNERPATH MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	5721 AFRICAN DAISY CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8841
Country	:	US
Telephone Number	:	719-895-0607
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 AFRICAN DAISY CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8841
Country	:	US
Telephone Number	:	719-895-0607
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CHINA DAHAL GARNER
Credential	:	PMHNP
Telephone Number	:	719-895-0607

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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