=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235957747
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A CLEAR PATH THERAPY SOLUTIONS LICENSED PROFESSIONAL CLINICAL COUNSELOR CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2024
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37551 DEVILLE ST
-----------------------------------------------------
City | PALMDALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93552-4643
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-227-7375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 38045 47TH ST E # 184
-----------------------------------------------------
City | PALMDALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93552-3108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-227-7375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/OPERATOR
-----------------------------------------------------
Name | LEIGH BROOKS
-----------------------------------------------------
Credential | LPCC 16993
-----------------------------------------------------
Telephone | 661-227-7375
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------