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General NPI Number Information
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NPI Number | 1659170793
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PATH THERAPY LLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 8565 S EASTERN AVE STE 182-2012
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City | LAS VEGAS
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State | NV
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Zip | 89123-2808
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Country | US
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Telephone | 702-748-8227
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Fax |
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Provider Business Mailing Address
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Address Line | 8565 S EASTERN AVE SUITE 182 PMB 2012
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City | LAS VEGAS
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State | NV
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Zip | 89123
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Country | US
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Telephone | 702-748-8227
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA ARNOLD
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Credential | LCPC
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Telephone | 707-704-8382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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