MEDICARE: NEW PATH OF COUNSELING

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1184230682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PATH OF COUNSELING

Provider Business Mailing Address
First Line	:	11467 HUEBNER RD STE 251
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1073
Country	:	US
Telephone Number	:	210-683-4313
Fax Number	:	833-620-0519

Provider Business Practice Location Address
First Line	:	11467 HUEBNER RD STE 251
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1073
Country	:	US
Telephone Number	:	210-683-4313
Fax Number	:	833-620-0519

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MANIJEH SIMMONS
Credential	:	MS
Telephone Number	:	210-683-4313

Provider Enumeration Date	:	09/20/2020
Last Update Date	:	09/21/2020

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Directions to “NEW PATH OF COUNSELING ” Practice Location

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