Healthcare Provider Details

I. General information

NPI: 1972434165
Provider Name (Legal Business Name): ADAPTIVE PATHS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 SUMMER ROSE DR
JOLIET IL
60431-7430
US

IV. Provider business mailing address

6009 SUMMER ROSE DR
JOLIET IL
60431-7430
US

V. Phone/Fax

Practice location:
  • Phone: 630-403-6957
  • Fax:
Mailing address:
  • Phone: 630-403-6957
  • 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: KELLY L BEYER
Title or Position: OWNER
Credential: LCPC
Phone: 630-732-9828