Healthcare Provider Details

I. General information

NPI: 1992511257
Provider Name (Legal Business Name): AUTHENTIC PATHWAYS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4397 FEDERAL DR
GREENSBORO NC
27410-8116
US

IV. Provider business mailing address

4397 FEDERAL DR
GREENSBORO NC
27410-8116
US

V. Phone/Fax

Practice location:
  • Phone: 336-462-9510
  • Fax: 336-579-3510
Mailing address:
  • Phone: 336-462-9510
  • Fax: 336-579-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHRYN HEWITT
Title or Position: OWNER/THERAPIST
Credential: LCMHC
Phone: 336-462-9510