Provider Demographics
NPI:1417558834
Name:OAK PATH COUNSELING GROUP, PLLC
Entity Type:Organization
Organization Name:OAK PATH COUNSELING GROUP, PLLC
Other - Org Name:DANA B. FOSTER, LPC, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCMHC
Authorized Official - Phone:704-888-1616
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-0487
Mailing Address - Country:US
Mailing Address - Phone:704-888-1616
Mailing Address - Fax:704-888-1670
Practice Address - Street 1:4310 THERMAL AVE STE C
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-9393
Practice Address - Country:US
Practice Address - Phone:704-888-1616
Practice Address - Fax:704-888-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty