Healthcare Provider Details

I. General information

NPI: 1174439137
Provider Name (Legal Business Name): GUIDED PATH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23322 15TH AVE SE
BOTHELL WA
98021-8844
US

IV. Provider business mailing address

23322 15TH AVE SE
BOTHELL WA
98021-8844
US

V. Phone/Fax

Practice location:
  • Phone: 425-553-5176
  • Fax:
Mailing address:
  • Phone: 425-553-5176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RAVNEET GREWAL
Title or Position: OWNER
Credential:
Phone: 425-553-5176