Healthcare Provider Details

I. General information

NPI: 1457979056
Provider Name (Legal Business Name): UNLIMITED PATHWAYS TO CHANGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 WOODWAY DR STE 319
HOUSTON TX
77057-1536
US

IV. Provider business mailing address

5757 WOODWAY DR STE 319
HOUSTON TX
77057-1536
US

V. Phone/Fax

Practice location:
  • Phone: 832-305-6706
  • Fax: 318-625-0636
Mailing address:
  • Phone: 346-833-5905
  • Fax: 800-681-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RENEKA CLARK
Title or Position: CEO/OWNER
Credential: LCSW-BACS
Phone: 832-305-6706