=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790617108
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INNERPATH MENTAL HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2026
-----------------------------------------------------
Last Update Date | 06/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5721 AFRICAN DAISY CT
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80923-8841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-895-0607
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5721 AFRICAN DAISY CT
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80923-8841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-895-0607
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | CHINA DAHAL GARNER
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 719-895-0607
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------