Provider Demographics
NPI:1457979056
Name:UNLIMITED PATHWAYS TO CHANGE, LLC
Entity Type:Organization
Organization Name:UNLIMITED PATHWAYS TO CHANGE, LLC
Other - Org Name:UPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BACS
Authorized Official - Phone:832-305-6706
Mailing Address - Street 1:5757 WOODWAY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1535
Mailing Address - Country:US
Mailing Address - Phone:346-833-5905
Mailing Address - Fax:800-681-6760
Practice Address - Street 1:5757 WOODWAY DR STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1535
Practice Address - Country:US
Practice Address - Phone:832-305-6706
Practice Address - Fax:318-625-0636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health