Healthcare Provider Details

I. General information

NPI: 1275448532
Provider Name (Legal Business Name): CLEAR PATH COUSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 KENNEDY BLVD W STE 108
WEST NEW YORK NJ
07093-1256
US

IV. Provider business mailing address

5600 KENNEDY BLVD W STE 108
WEST NEW YORK NJ
07093-1256
US

V. Phone/Fax

Practice location:
  • Phone: 201-305-5537
  • Fax: 201-305-5538
Mailing address:
  • Phone: 201-305-5537
  • Fax: 201-305-5538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. FELIX MINEVICH
Title or Position: CEO
Credential:
Phone: 917-929-4328