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NPI Code Detail

MEDICARE: PATHWAYS TO RENEWAL, LLC

MEDICARE: PATHWAYS TO RENEWAL, 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1639026099
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHWAYS TO RENEWAL, LLC
Provider Business Mailing Address
First Line : 115 LAKE DR
Second Line :
City : LAUREL
State : DE
Zip : 19956-1707
Country : US
Telephone Number : 302-396-9114
Fax Number :
Provider Business Practice Location Address
First Line : 115 LAKE DR
Second Line :
City : LAUREL
State : DE
Zip : 19956-1707
Country : US
Telephone Number : 302-396-9114
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : MRS. ERICA J PERSAUD
Credential : LPCMH, LCDC
Telephone Number : 302-396-9114
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “PATHWAYS TO RENEWAL, LLC ” Practice Location

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