Healthcare Provider Details

I. General information

NPI: 1952918013
Provider Name (Legal Business Name): PATH TO EMPOWERMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8759 CLINTON MACON RD
CLINTON MI
49236-9572
US

IV. Provider business mailing address

PO BOX 2257
CHESTERTON IN
46304-0357
US

V. Phone/Fax

Practice location:
  • Phone: 734-945-2328
  • Fax:
Mailing address:
  • Phone: 219-926-8320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMANDA JATEL
Title or Position: OWNER
Credential: LMSW
Phone: 586-822-3444