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NPI Code Detail

MEDICARE: D B PATHS LLC

MEDICARE: D B PATHS 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1053100016
Entity Type Code : Organization
Provider Name (Legal Business Name) : D B PATHS LLC
Provider Business Mailing Address
First Line : 3776 FENWICK ISLAND DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7963
Country : US
Telephone Number : 904-269-3522
Fax Number :
Provider Business Practice Location Address
First Line : 10752 DEERWOOD PARK BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4849
Country : US
Telephone Number : 904-842-2461
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DORIS BENREY-BOGUSLAVSKY
Credential : LMHC
Telephone Number : 904-269-3522
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/25/2026

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Directions to “D B PATHS LLC ” Practice Location

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