Provider Demographics
NPI:1114340247
Name:A NEW PATH COUNSELING CENTER
Entity Type:Organization
Organization Name:A NEW PATH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:N
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-916-9396
Mailing Address - Street 1:329 OAKS TRL
Mailing Address - Street 2:STE. #102
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4092
Mailing Address - Country:US
Mailing Address - Phone:972-916-9396
Mailing Address - Fax:
Practice Address - Street 1:329 OAKS TRL
Practice Address - Street 2:STE. #102
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4092
Practice Address - Country:US
Practice Address - Phone:972-916-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty