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General NPI Number Information
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NPI Number | 1114896891
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Entity Type | Organization
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Legal Business Name | OPEN PATHWAYS COUNSELING CENTER LLC PLLC
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 771 CHLOE RD APT 3
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City | PIKEVILLE
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State | KY
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Zip | 41501-1836
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Country | US
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Telephone | 606-424-1126
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Fax |
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Provider Business Mailing Address
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Address Line | 115 UPPER CHLOE CRK
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City | PIKEVILLE
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State | KY
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Zip | 41501-6646
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Country | US
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Telephone | 606-424-1126
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. JEREMY COLEMAN
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Credential | LPCC
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Telephone | 606-424-1126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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