Healthcare Provider Details

I. General information

NPI: 1235957747
Provider Name (Legal Business Name): A CLEAR PATH THERAPY SOLUTIONS LICENSED PROFESSIONAL CLINICAL COUNSELOR CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 09/02/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37551 DEVILLE ST
PALMDALE CA
93552-4643
US

IV. Provider business mailing address

38045 47TH ST E # 184
PALMDALE CA
93552-3108
US

V. Phone/Fax

Practice location:
  • Phone: 661-227-7375
  • Fax:
Mailing address:
  • Phone: 661-227-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LEIGH BROOKS
Title or Position: CEO/OPERATOR
Credential: LPCC 16993
Phone: 661-227-7375