=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801619770
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATHWAYS TO HOPE THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2024
-----------------------------------------------------
Last Update Date | 11/07/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 135 EAST 1ST STREET
-----------------------------------------------------
City | PARACHUTE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81635-5001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-285-7704
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 138 COUNTY ROAD 355
-----------------------------------------------------
City | PARACHUTE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81635-8921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-285-7704
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | LACEY L SATTERFIELD
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 970-285-7704
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------