Provider Demographics
NPI:1407293871
Name:NEW PATH COUNSELING LLC
Entity Type:Organization
Organization Name:NEW PATH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ARIETA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LMSW
Authorized Official - Phone:612-239-3516
Mailing Address - Street 1:15505 FLIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6025
Mailing Address - Country:US
Mailing Address - Phone:612-239-3516
Mailing Address - Fax:
Practice Address - Street 1:15505 FLIGHT WAY
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-6025
Practice Address - Country:US
Practice Address - Phone:612-239-3516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-25
Last Update Date:2013-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health