Healthcare Provider Details

I. General information

NPI: 1609622455
Provider Name (Legal Business Name): NEW PATH COUNSELING & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 RIDGE RD STE 133
ROCKWALL TX
75087-4250
US

IV. Provider business mailing address

913 W HOLIDAY
ROCKWALL TX
75087-2151
US

V. Phone/Fax

Practice location:
  • Phone: 214-233-4434
  • Fax:
Mailing address:
  • Phone: 214-233-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAUREN BUTCHER
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 214-233-4434