Personal Path Therapeutic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PERSONAL PATH THERAPEUTIC SERVICES, LLC

Practice address

7115 Angel FLS
Missouri City, TX 77459-3566

Phone

(937) 572-4662

NPI assigned

Nov 17, 2018

Last updated

Nov 17, 2018By 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

Brenda Haney, LCSW

Title

Partner

Phone

(937) 572-4662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542412800000",
    "number": "1255800439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 ANGEL FLS",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 ANGEL FLS",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593566",
            "telephone_number": "937-572-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PATH THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-572-4662",
        "authorized_official_credential": "LCSW"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; 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.