MEDICARE: CLEARPATH COMMUNITY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003775693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARPATH COMMUNITY SERVICES, LLC

Provider Business Mailing Address
First Line	:	5248 MONTANA CIR NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-9719
Country	:	US
Telephone Number	:	919-636-1841
Fax Number	:

Provider Business Practice Location Address
First Line	:	5248 MONTANA CIR NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-9719
Country	:	US
Telephone Number	:	919-636-1841
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BAKARRI JOHNSON
Credential	:
Telephone Number	:	919-636-1841

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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