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NPI 1043155781

NPI 1043155781 : PURPLE PATH FAMILY THERAPY AND COUNSELING CENTER INC : PALMDALE, CA

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General NPI Number Information
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    NPI Number           |    1043155781
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    Entity Type          |    Organization 
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    Legal Business Name  |    PURPLE PATH FAMILY THERAPY AND COUNSELING CENTER INC 
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Dates
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    Enumeration Date     |    04/20/2026
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    Last Update Date     |    04/20/2026
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Provider Practice Location Address
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    Address Line         |    1543 E PALMDALE BLVD STE K2 
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    City                 |    PALMDALE
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    State                |    CA
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    Zip                  |    93550-2000
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    Country              |    US
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    Telephone            |    702-328-8942
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    Fax                  |    702-447-7811
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Provider Business Mailing Address
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    Address Line         |    2400 N TENAYA WAY STE 130 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-0645
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    Country              |    US
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    Telephone            |    702-329-8942
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    Fax                  |    702-447-7811
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. STEPHANIE MARIE KINNEY 
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    Credential           |    LMFT
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    Telephone            |    702-291-8371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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