=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104752328
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2026
-----------------------------------------------------
Last Update Date | 06/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1666 E OLIVE WAY
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98102-5627
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-452-4357
-----------------------------------------------------
Fax | 888-892-4338
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10260 SW GREENBURG RD 4TH FLOOR
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-452-4357
-----------------------------------------------------
Fax | 888-892-4338
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | TANIA GUERRIER CASTOR
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 833-452-4357
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------