Healthcare Provider Details

I. General information

NPI: 1932079704
Provider Name (Legal Business Name): CLEAR PATH WELLNESS & RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26010 MCCALL BLVD STE H
MENIFEE CA
92586-1983
US

IV. Provider business mailing address

26010 MCCALL BLVD STE H
MENIFEE CA
92586-1983
US

V. Phone/Fax

Practice location:
  • Phone: 951-722-2759
  • Fax:
Mailing address:
  • Phone: 951-722-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RONALD ALVARADO
Title or Position: FOUNDER
Credential: A.S.,CADC II/ICADC
Phone: 951-722-2759