Provider Demographics
NPI:1821727736
Name:NEW PATH PLLC
Entity Type:Organization
Organization Name:NEW PATH PLLC
Other - Org Name:NEW PATH PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OKANLAWON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:240-643-6371
Mailing Address - Street 1:9249 S BROADWAY STE 200-406
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5690
Mailing Address - Country:US
Mailing Address - Phone:720-608-0382
Mailing Address - Fax:
Practice Address - Street 1:1420 W CANAL CT STE 20
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5660
Practice Address - Country:US
Practice Address - Phone:720-608-0382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW PATH PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-07
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Single Specialty