Healthcare Provider Details

I. General information

NPI: 1740127679
Provider Name (Legal Business Name): CLEAR PATH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 1ST AVE SE STE 416
CEDAR RAPIDS IA
52402-3221
US

IV. Provider business mailing address

4314 HOLLY CIR NE
CEDAR RAPIDS IA
52411-4726
US

V. Phone/Fax

Practice location:
  • Phone: 641-781-0538
  • Fax: 641-781-0538
Mailing address:
  • Phone: 641-781-0538
  • 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: CHRISTINA AQUINO
Title or Position: OWNER/THERAPIST
Credential: LISW
Phone: 641-781-0538