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General NPI Number Information
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NPI Number | 1366319972
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Entity Type | Organization
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Legal Business Name | GRATEFUL PATH WELLNESS, LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4131 OKEMOS RD STE 9
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City | OKEMOS
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State | MI
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Zip | 48864-2823
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Country | US
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Telephone | 810-333-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 733 VILLAGE DR
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City | FOWLERVILLE
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State | MI
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Zip | 48836-7930
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Country | US
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Telephone | 810-333-0561
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE ALNARSHI
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Credential | LMSW
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Telephone | 810-333-0561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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