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1972438935 NPI number — CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES LLC

NPI Number: 1972438935
Health Care Provider/Practitioner: CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES LLC

Information about “1972438935” NPI (CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES LLC) exists in 1972438935 in HTML format HTML  |  1972438935 in plain Text format TXT  |  1972438935 in PDF (Portable Document Format) PDF  |  1972438935 in an XML format XML  formats.

NPI Number : 1972438935 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972438935",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10260 SW GREENBURG RD",
    "SecondLineMailingAddress": "4TH FLOOR-9725",
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97223-5500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "833-452-4357",
    "MailingAddressFaxNumber": "888-892-4338",
    "FirstLinePracticeLocationAddress": "10260 SW GREENBURG RD",
    "SecondLinePracticeLocationAddress": "4TH FLOOR-9725",
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97223-5500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-452-4357",
    "PracticeLocationAddressFaxNumber": "888-892-4338",
    "EnumerationDate": "06/12/2026",
    "LastUpdateDate": "06/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GUERRIER CASTOR",
    "AuthorizedOfficialFirstName": "TANIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PMHNP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "APRN",
    "AuthorizedOfficialTelephoneNumber": "954-851-4042",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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