Healthcare Provider Details

I. General information

NPI: 1508784844
Provider Name (Legal Business Name): CLEAR PATH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 PAGE DR S STE 303
FARGO ND
58103-3536
US

IV. Provider business mailing address

1351 PAGE DR S STE 303
FARGO ND
58103-3536
US

V. Phone/Fax

Practice location:
  • Phone: 701-937-4584
  • Fax: 701-670-1993
Mailing address:
  • Phone: 701-937-4584
  • Fax: 701-670-1993

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: MISTY WRIGHT
Title or Position: OWNER / THERAPIST
Credential: MS, LPCC, NCC
Phone: 701-937-4584