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NPI Code Detail

MEDICARE: WELLNESS PATH COUNSELING PLLC

MEDICARE: WELLNESS PATH COUNSELING PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1114813607
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS PATH COUNSELING PLLC
Provider Business Mailing Address
First Line : 9011 MOUNTAIN RIDGE DR STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78759-7640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9011 MOUNTAIN RIDGE DR STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78759-7640
Country : US
Telephone Number : 512-222-6003
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JESS PAUL AMBIEE
Credential :
Telephone Number : 512-222-6003
Provider Enumeration Date : 06/13/2025
Last Update Date : 02/27/2026

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Directions to “WELLNESS PATH COUNSELING PLLC ” Practice Location

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