Pathways to Revelation, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATHWAYS TO REVELATION, LLC

Practice address

1064 W Highway 50 Ste 219
Clermont, FL 34711-2835

Phone

(407) 588-7466

NPI assigned

Nov 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Miquia Chavonne Thompson, LMHCNPI 1467853788

Title

Owner/Therapist

Phone

(407) 588-7466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miquia C Thompson, MS, LMHC

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1467853788
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1003419961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W MINNEOLA AVE STE 120646",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112117",
            "telephone_number": "407-588-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 W HIGHWAY 50 STE 219",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112835",
            "telephone_number": "407-588-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347363019",
            "country_code": "US",
            "telephone_number": "407-588-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS TO REVELATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MIQUIA",
        "authorized_official_middle_name": "CHAVONNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "407-588-7466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Netra Patil
• Jennifer L. Patino
• Terry Patoir
• Patrick G Fairchild MD PA
• Brian Lee Patterson, MD

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.