MEDICARE: STONPATH COUNSELING NETWORK

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790669620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONPATH COUNSELING NETWORK

Provider Business Mailing Address
First Line	:	2199 S LAKE ST APT 7
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-5801
Country	:	US
Telephone Number	:	801-884-6531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2199 S LAKE ST APT 7
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-5801
Country	:	US
Telephone Number	:	801-884-6531
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS BARLOW
Credential	:	CMHC
Telephone Number	:	801-884-6531

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “STONPATH COUNSELING NETWORK ” Practice Location

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