MEDICARE: AUTHENTIC PATHWAYS 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1992511257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTHENTIC PATHWAYS PLLC

Provider Business Mailing Address
First Line	:	3000 BETHESDA PLACE
Second Line	:	SUITE 503 PMB 1006
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 BETHESDA PLACE
Second Line	:	SUITE 503 PMB 1006
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103
Country	:	US
Telephone Number	:	336-462-9510
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	KATHRYN HEWITT
Credential	:	LCMHC
Telephone Number	:	336-462-9510

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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Directions to “AUTHENTIC PATHWAYS PLLC ” Practice Location

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