Provider Demographics
NPI:1669187308
Name:CLEARPATH HEALTH LLC
Entity type:Organization
Organization Name:CLEARPATH HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-241-7050
Mailing Address - Street 1:2963 GULF TO BAY BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-4286
Mailing Address - Country:US
Mailing Address - Phone:727-241-7050
Mailing Address - Fax:
Practice Address - Street 1:10508 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5046
Practice Address - Country:US
Practice Address - Phone:727-241-7700
Practice Address - Fax:727-241-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health