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General NPI Number Information
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NPI Number | 1588167084
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Entity Type | Organization
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Legal Business Name | NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 740 N 4TH ST
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City | STERLING
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State | CO
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Zip | 80751-3250
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Country | US
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Telephone | 970-526-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 740 W BROADWAY ST
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City | STERLING
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State | CO
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Zip | 80751-2884
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Country | US
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Telephone | 970-526-6577
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE MARIE MCCAULEY
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Credential | LPC
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Telephone | 970-526-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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