=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790606622
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLEARPATH PSYCHIATRY & COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2026
-----------------------------------------------------
Last Update Date | 07/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 580 REED RD
-----------------------------------------------------
City | BROOMALL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19008-3655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-860-8379
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 580 REED RD
-----------------------------------------------------
City | BROOMALL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19008-3655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JUDE OKEKE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-252-9286
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------