=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982244406
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A FOLLOWED PATH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2020
-----------------------------------------------------
Last Update Date | 01/13/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3697 OAKMONT LN NE
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43130-9794
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-974-2125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 125
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43130-0125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-974-2125
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. ANITA EILEEN ZIELINSKI-BEAN
-----------------------------------------------------
Credential | LISW-S, CCM
-----------------------------------------------------
Telephone | 740-974-2125
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------