Healthcare Provider Details

I. General information

NPI: 1508649484
Provider Name (Legal Business Name): CURIOUS PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 S ATHERTON ST
STATE COLLEGE PA
16801-6203
US

IV. Provider business mailing address

1346 S ATHERTON ST
STATE COLLEGE PA
16801-6203
US

V. Phone/Fax

Practice location:
  • Phone: 814-380-9060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SANDRA M WEISS
Title or Position: MEMBER
Credential: LCSW
Phone: 814-934-1336