A PATH TO CHANGE, LLC (NPI# 1427577022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427577022 |
Entity Type | Organization |
Organization Name | A PATH TO CHANGE, LLC |
Practice Address |
2 Center Rd W Ste 2 Old Saybrook CT 06475-4052 |
Mailing Address |
15 Sunset Ave Old Saybrook CT 06475-1427 |
Practice Telephone | 8602944505 |
Mailing Telephone | 8608760881 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |
Authorized Official Name | MICHELLE MCLAIN (OWNER) |
Authorized Official Telephone | 8608760881 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
002359 | CT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004235918 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | A PATH TO CHANGE, LLC | 35 Boston Street, Guilford, CT 06437 |
Street Address |
2 CENTER RD W STE 2 |
City | OLD SAYBROOK |
State | CT |
Zip Code | 06475-4052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
Find all providers in zip 06475 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730542598 | Pamela Caehill | Counselor | 141 Boston Post Rd, Office 5b, Old Saybrook, CT 06475-1558 | 2016-03-30 |
1184998296 | Three Graces, LLP | Counselor | 251 Main St Ste 100, Old Saybrook, CT 06475-2357 | 2012-03-07 |
1326337015 | Susan E. Consoli | Counselor | 823 Boston Post Rd, Suite 4, Old Saybrook, CT 06475-2100 | 2011-04-04 |
1083916076 | Michelle Mclain | Counselor | 15 Sunset Ave, Old Saybrook, CT 06475-1427 | 2010-11-23 |
1992290167 | Caitlyn Elizabeth Goggin | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2018-06-28 |
1134678303 | Carla Harper, Lpc, LLC | Counselor | 97 Elm St, Old Saybrook, CT 06475-4144 | 2016-09-28 |
1902354038 | Jeannette Ogorzalek, Lpc, LLC | Counselor | 97 Elm St, Old Saybrook, CT 06475-4144 | 2016-09-19 |
1255728614 | Tidal Counseling LLC | Counselor | 263 Main St, Suite 304, Old Saybrook, CT 06475-2326 | 2015-04-22 |
1265851943 | Suzanne K. Sutch, Lpc LLC | Counselor | 100 Main Street, Old Saybrook, CT 06475 | 2014-04-10 |
1194064022 | Katherine Ann Beecher | Counselor | 385 Main St, Old Saybrook, CT 06475-2309 | 2013-02-13 |
Find all providers in OLD SAYBROOK |
City | OLD SAYBROOK |
Zip Code | 06475 |
Please comment or provide details below to improve the information on A PATH TO CHANGE, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.