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NPI Code Detail

MEDICARE: NEW PATH PLLC

MEDICARE: NEW PATH PLLC
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
12084P0802XAddiction Psychiatry Physician

General Provider Information

NPI Number : 1821727736
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW PATH PLLC
Provider Business Mailing Address
First Line : 9249 S BROADWAY STE 200-406
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-5690
Country : US
Telephone Number : 720-608-0382
Fax Number :
Provider Business Practice Location Address
First Line : 801 W MINERAL AVE STE 101
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5663
Country : US
Telephone Number : 720-608-0382
Fax Number : 720-802-7462
Authorized Official
Title or Position : CLINIC MANAGER
Name : ESTHER O. OKANLAWON
Credential :
Telephone Number : 720-608-0382
Provider Enumeration Date : 06/07/2022
Last Update Date : 12/02/2025

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Directions to “NEW PATH PLLC ” Practice Location

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