Healthcare Provider Details

I. General information

NPI: 1346104536
Provider Name (Legal Business Name): NEW PATH COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 FREDERICA RD STE 203
SAINT SIMONS ISLAND GA
31522-2526
US

IV. Provider business mailing address

1626 FREDERICA RD STE 203
SAINT SIMONS ISLAND GA
31522-2526
US

V. Phone/Fax

Practice location:
  • Phone: 912-577-7494
  • Fax:
Mailing address:
  • Phone: 912-577-7494
  • 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: MICHAELENE SUZANNE MCGINNIS
Title or Position: OWNER
Credential: LPC
Phone: 912-577-7494