MEDICARE: JOSHUA CULBERTSON, LLC DBA AUTHENTIC PATHWAYS COUNSELING & CONSULTING

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295309607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSHUA CULBERTSON, LLC DBA AUTHENTIC PATHWAYS COUNSELING & CONSULTING

Provider Business Mailing Address
First Line	:	3048 COLUMBUS LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	614-706-0975
Fax Number	:	740-277-7741

Provider Business Practice Location Address
First Line	:	3048 COLUMBUS LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	614-706-0975
Fax Number	:	740-277-7741

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSHUA DOUGLAS CULBERTSON
Credential	:	LPCC
Telephone Number	:	614-706-0975

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	05/19/2021

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Directions to “JOSHUA CULBERTSON, LLC DBA AUTHENTIC PATHWAYS COUNSELING & CONSULTING ” Practice Location

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