Provider Demographics
NPI:1811547151
Name:DISCOVERY PATH, LLC
Entity Type:Organization
Organization Name:DISCOVERY PATH, LLC
Other - Org Name:DISCOVERY PATH COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:509-730-5189
Mailing Address - Street 1:1717 W 6TH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3532
Mailing Address - Country:US
Mailing Address - Phone:509-730-5189
Mailing Address - Fax:509-278-4961
Practice Address - Street 1:1717 W 6TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3532
Practice Address - Country:US
Practice Address - Phone:509-413-0067
Practice Address - Fax:509-278-4961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2130751Medicaid