NPI Code Details Logo

NPI 1467356550

NPI 1467356550 : CLEAR PATH BEHAVIOR HEALTH SERVICES : CHESAPEAKE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1467356550
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLEAR PATH BEHAVIOR HEALTH SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2026
-----------------------------------------------------
    Last Update Date     |    10/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    910 GREAT BRIDGE BLVD STE 114 
-----------------------------------------------------
    City                 |    CHESAPEAKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23320-6642
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    757-572-1516
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    910 GREAT BRIDGE BLVD STE 114 
-----------------------------------------------------
    City                 |    CHESAPEAKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23320-6642
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    757-580-5678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. ANTOINETTE  THORNTON 
-----------------------------------------------------
    Credential           |    PHD, LCSW
-----------------------------------------------------
    Telephone            |    757-237-8460
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.