MEDICARE: COUNSELING 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1376212365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING PATHS, LLC

Provider Business Mailing Address
First Line	:	1875 OLD ALABAMA RD STE 630
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-2264
Country	:	US
Telephone Number	:	770-744-4276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 OLD ALABAMA RD STE 630
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-2264
Country	:	US
Telephone Number	:	770-744-4276
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MADELON MORGAN
Credential	:
Telephone Number	:	770-744-4276

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	09/13/2021

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Directions to “COUNSELING PATHS, LLC ” Practice Location

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