Provider Demographics
NPI:1457991606
Name:LIFEPATH COUNSELING LLC
Entity Type:Organization
Organization Name:LIFEPATH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:HERN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-465-7442
Mailing Address - Street 1:1067 E US HIGHWAY 24 # 171
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2120
Mailing Address - Country:US
Mailing Address - Phone:719-465-7442
Mailing Address - Fax:
Practice Address - Street 1:2641 SOUTHPARK RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816-8991
Practice Address - Country:US
Practice Address - Phone:719-465-7442
Practice Address - Fax:719-960-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty