Provider Demographics
NPI:1649092966
Name:SHINNING PATHWAYS LLC
Entity type:Organization
Organization Name:SHINNING PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARGI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:925-549-0517
Mailing Address - Street 1:2551 SAN RAMON VALLEY BLVD STE 252
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1664
Mailing Address - Country:US
Mailing Address - Phone:925-549-0517
Mailing Address - Fax:
Practice Address - Street 1:2551 SAN RAMON VALLEY BLVD STE 252
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1664
Practice Address - Country:US
Practice Address - Phone:925-549-0517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty