Provider Demographics
NPI:1356068399
Name:ALLIED PATH COUNSELING SERVICES
Entity type:Organization
Organization Name:ALLIED PATH COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG GEON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOH
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:858-472-5530
Mailing Address - Street 1:625 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5283
Mailing Address - Country:US
Mailing Address - Phone:469-252-7090
Mailing Address - Fax:469-617-7052
Practice Address - Street 1:625 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5283
Practice Address - Country:US
Practice Address - Phone:469-252-7090
Practice Address - Fax:469-617-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty