Provider Demographics
NPI:1255787735
Name:PATHS TO WELLNESS, INC.
Entity type:Organization
Organization Name:PATHS TO WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-332-4656
Mailing Address - Street 1:61 RENATO CT
Mailing Address - Street 2:SUITE 18
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-4093
Mailing Address - Country:US
Mailing Address - Phone:650-332-4656
Mailing Address - Fax:
Practice Address - Street 1:61 RENATO CT
Practice Address - Street 2:SUITE 18
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-4093
Practice Address - Country:US
Practice Address - Phone:650-332-4656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23292174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty