Mended Path Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56497 Issued in TX

Legal business name

MENDED PATH COUNSELING SERVICES, PLLC

Practice address

6141 W Amarillo Blvd
Amarillo, TX 79106-1901

Phone

(806) 236-5135

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Chris Bradley, LCSW, LCDCNPI 1841541661

Title

Owner

Phone

(806) 236-5135

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, and the practitioner matching its NPPES authorized official.

• Nathan Chris Bradley, LMSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1841541661
  Authorized official Same address or phone

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1144673849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061901",
            "telephone_number": "806-236-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061901",
            "telephone_number": "806-236-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED PATH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-236-5135",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destry L Meiwes, FNP-C
• Veronica Gabriela Melesio, LPC
• Janet Meller, MD
• Melvin L. Bram ,M.D.,P.a.
• Janette Memmott
• Angelica D. Mendez, M.D.
• Lois Mendez, MD
• Apryl Dawn Mendoza, RN
• Fatima Mendoza, N.P.
• Krystyne Aleksandr Mendoza

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.