Healthcare Provider Details

I. General information

NPI: 1023923174
Provider Name (Legal Business Name): PATH FORWARD COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 KINGFISHER DR
KISSIMMEE FL
34759-4420
US

IV. Provider business mailing address

5366 CENTRAL FLORIDA PKWY STE 1076
ORLANDO FL
32821-8772
US

V. Phone/Fax

Practice location:
  • Phone: 850-544-5476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN MURRAY
Title or Position: OWNER
Credential:
Phone: 321-423-5501