MEDICARE: CLEAR PATH WELLNESS LOUNGE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649920364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR PATH WELLNESS LOUNGE

Provider Business Mailing Address
First Line	:	16694 GOLFVIEW DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-1812
Country	:	US
Telephone Number	:	954-336-3948
Fax Number	:

Provider Business Practice Location Address
First Line	:	278 E COLORADO BLVD APT 1607
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-2257
Country	:	US
Telephone Number	:	754-294-4357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TANIA GUERRIER CASTOR
Credential	:	APRN
Telephone Number	:	954-851-4042

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	02/19/2026

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Directions to “CLEAR PATH WELLNESS LOUNGE ” Practice Location

Language	Start Address	Practice Location

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