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General NPI Number Information
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NPI Number | 1386279453
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO WELLNESS, LLC
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 74 SHELDON TER
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City | NEW HAVEN
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State | CT
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Zip | 06511-2006
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Country | US
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Telephone | 203-941-1884
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Fax | 203-712-7718
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Provider Business Mailing Address
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Address Line | 185 CANAL ST UNIT 1003
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City | SHELTON
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State | CT
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Zip | 06484-8122
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Country | US
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Telephone | 203-941-1884
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Fax | 203-712-7718
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Authorized Official
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Title or Position | CO-OWNER/PSCYHOTHERAPIST
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Name | MRS. DENISE MICHELLE NEWTON
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Credential | LCSW
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Telephone | 203-941-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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