Provider Demographics
NPI:1043774581
Name:QUIET MIND CLEAR PATH, PLLC
Entity Type:Organization
Organization Name:QUIET MIND CLEAR PATH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHALEEN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:828-450-4873
Mailing Address - Street 1:59 RICE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1935
Mailing Address - Country:US
Mailing Address - Phone:828-450-4873
Mailing Address - Fax:
Practice Address - Street 1:59 RICE BRANCH RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1935
Practice Address - Country:US
Practice Address - Phone:828-450-4873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty