Provider Demographics
NPI:1790463537
Name:GARDEN PATH COUNSELING, LLC
Entity Type:Organization
Organization Name:GARDEN PATH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-279-9340
Mailing Address - Street 1:158 MUDDY BAY DR APT 7304
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-3500
Mailing Address - Country:US
Mailing Address - Phone:267-279-9340
Mailing Address - Fax:
Practice Address - Street 1:158 MUDDY BAY DR APT 7304
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-3500
Practice Address - Country:US
Practice Address - Phone:267-279-9340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty