Provider Demographics
NPI:1669258737
Name:NEW PATH THERAPY AND CONSULTING, PLLC
Entity type:Organization
Organization Name:NEW PATH THERAPY AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:GENEVIEVE
Authorized Official - Last Name:PIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-440-4251
Mailing Address - Street 1:1005 W LINCOLN HWY UNIT A81
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-3019
Mailing Address - Country:US
Mailing Address - Phone:847-440-4251
Mailing Address - Fax:
Practice Address - Street 1:1005 W LINCOLN HWY UNIT A81
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-3019
Practice Address - Country:US
Practice Address - Phone:847-440-4251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty