MEDICARE: NEW PATHS FORWARD, 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	101YP2500X	Professional Counselor	002802	CT

General Provider Information

NPI Number	:	1134593304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PATHS FORWARD, LLC

Provider Business Mailing Address
First Line	:	171 DUBLIN RD
Second Line	:
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-1832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 MEADOW ST
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3504
Country	:	US
Telephone Number	:	203-347-0377
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSEPH ALBERTARIO
Credential	:	LPC
Telephone Number	:	203-577-9150

Provider Enumeration Date	:	11/25/2015
Last Update Date	:	11/25/2015

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Directions to “NEW PATHS FORWARD, LLC ” Practice Location

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