Healthcare Provider Details

I. General information

NPI: 1467356550
Provider Name (Legal Business Name): CLEAR PATH BEHAVIOR HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 GREAT BRIDGE BLVD STE 114
CHESAPEAKE VA
23320-6642
US

IV. Provider business mailing address

910 GREAT BRIDGE BLVD STE 114
CHESAPEAKE VA
23320-6642
US

V. Phone/Fax

Practice location:
  • Phone: 757-572-1516
  • Fax:
Mailing address:
  • Phone: 757-580-5678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANTOINETTE THORNTON
Title or Position: OWNER
Credential: PHD, LCSW
Phone: 757-237-8460