Provider Demographics
NPI:1497595268
Name:MOUNTAIN PATH THERAPY PLLC
Entity type:Organization
Organization Name:MOUNTAIN PATH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:682-990-6850
Mailing Address - Street 1:10483 MUSTANG RUN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-7467
Mailing Address - Country:US
Mailing Address - Phone:630-457-0593
Mailing Address - Fax:267-649-3139
Practice Address - Street 1:10483 MUSTANG RUN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7467
Practice Address - Country:US
Practice Address - Phone:630-457-0593
Practice Address - Fax:267-649-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty