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General NPI Number Information
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NPI Number | 1942168927
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Entity Type | Organization
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Legal Business Name | COURAGEOUS PATHWAYS COUNSELING LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 4604 HOBBS WAY
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City | LEXINGTON
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State | KY
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Zip | 40515-6295
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Country | US
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Telephone | 859-379-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 HOBBS WAY
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City | LEXINGTON
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State | KY
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Zip | 40515-6295
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Country | US
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Telephone | 859-379-8338
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Fax |
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Authorized Official
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Title or Position | LPCA/MANAGER
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Name | JASON L RAY
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Credential | LPCA
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Telephone | 859-544-5574
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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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