MEDICARE: NEW PATHWAYS PSYCHIATRY AND COUNSELING 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1942030911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PATHWAYS PSYCHIATRY AND COUNSELING LLC

Provider Business Mailing Address
First Line	:	5931 MIDDLEFIELD RD STE 103
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-2865
Country	:	US
Telephone Number	:	720-503-1403
Fax Number	:	720-991-1349

Provider Business Practice Location Address
First Line	:	5931 MIDDLEFIELD RD STE 103
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-2865
Country	:	US
Telephone Number	:	720-503-1403
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. HENRY B FAGNANT
Credential	:	PMHNP-BC
Telephone Number	:	720-503-1403

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	03/18/2026

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