Provider Demographics
NPI:1245553957
Name:CLEARPATH COUNSELING SERVICE INC.
Entity type:Organization
Organization Name:CLEARPATH COUNSELING SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RAUSHANAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-598-8738
Mailing Address - Street 1:3355 LENOX RD NE STE 750
Mailing Address - Street 2:STE 2919
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1353
Mailing Address - Country:US
Mailing Address - Phone:404-250-3230
Mailing Address - Fax:404-250-3270
Practice Address - Street 1:3355 LENOX RD NE
Practice Address - Street 2:STE 750
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1394
Practice Address - Country:US
Practice Address - Phone:404-250-3230
Practice Address - Fax:404-250-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health