Provider Demographics
NPI:1841739174
Name:LIFEPATH COUNSELING PLLC
Entity Type:Organization
Organization Name:LIFEPATH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANALES-CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-201-3278
Mailing Address - Street 1:12030 BANDERA RD
Mailing Address - Street 2:SUITE 108-J
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4735
Mailing Address - Country:US
Mailing Address - Phone:210-201-3278
Mailing Address - Fax:210-610-5034
Practice Address - Street 1:12030 BANDERA RD
Practice Address - Street 2:SUITE 108-J
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4735
Practice Address - Country:US
Practice Address - Phone:210-201-3278
Practice Address - Fax:210-610-5034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty