Provider Demographics
NPI:1609639848
Name:A CHOSEN PATH COUNSELING AND CONSULTING SERVICES P
Entity Type:Organization
Organization Name:A CHOSEN PATH COUNSELING AND CONSULTING SERVICES P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RASHEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-934-9979
Mailing Address - Street 1:4683 BETTS DR STE 403
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1807
Mailing Address - Country:US
Mailing Address - Phone:214-934-9979
Mailing Address - Fax:
Practice Address - Street 1:4683 BETTS DR STE 403
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1807
Practice Address - Country:US
Practice Address - Phone:214-934-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty