Healthcare Provider Details

I. General information

NPI: 1942672910
Provider Name (Legal Business Name): NEW PATH COUNSELING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 S MAIN ST SUITE 130
LUMBERTON TX
77657-7881
US

IV. Provider business mailing address

156 S MAIN ST SUITE 130
LUMBERTON TX
77657-7881
US

V. Phone/Fax

Practice location:
  • Phone: 409-673-0024
  • Fax:
Mailing address:
  • Phone: 409-673-0024
  • 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

VIII. Authorized Official

Name: CAROL ANN HARRIS
Title or Position: THERAPIST/CLINICAL DIRECTOR
Credential: LPCS
Phone: 409-200-2220