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General NPI Number Information
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NPI Number | 1043653637
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Entity Type | Organization
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Legal Business Name | PATH TO POSITIVE CHANGE INC.
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 10 FAIRWAY DR STE 112
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1827
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Country | US
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Telephone | 954-803-0960
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Fax | 954-204-0015
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Provider Business Mailing Address
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Address Line | 10 FAIRWAY DR STE 112
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1827
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Country | US
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Telephone | 954-803-0960
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Fax | 954-204-0015
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUDREY ANN ANSPACH
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Credential | LCSW, CAP
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Telephone | 954-803-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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