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General NPI Number Information
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NPI Number | 1437131554
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Entity Type | Organization
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Legal Business Name | OPEN PATHS COUNSELING CENTER
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 301 N PRAIRIE AVE STE 510
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City | INGLEWOOD
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State | CA
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Zip | 90301-4512
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Country | US
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Telephone | 310-258-9677
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Fax | 310-258-9650
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Provider Business Mailing Address
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Address Line | 301 N PRAIRIE AVE STE 510
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City | INGLEWOOD
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State | CA
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Zip | 90301-4512
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Country | US
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Telephone | 310-258-9677
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Fax | 310-258-9650
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SIERRA SMITH
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Credential |
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Telephone | 310-258-9737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 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 #4
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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 #5
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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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