Organization Active NPI

Prime Path Recovery and Wellness Services, LLC.

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1740108505
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRIME PATH RECOVERY AND WELLNESS SERVICES, LLC.
Practice address
3100 E 45TH St Ste 311
Cleveland, OH 44127-1088
Phone
(336) 210-3815
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Charletha Renee Blake, MSW
Title
Director
Phone
(336) 210-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3100 E 45TH St Ste 311
Cleveland, OH 44127-1088

Mailing address

2328 Mill LN
High Point, NC 27265-9184
Phone (336) 210-3815

National Provider Directory

National Provider Directory

Locations

3100 E 45th St
Ste 311
Cleveland, OH 44127

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1740108505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MILL LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659184",
            "telephone_number": "336-210-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST STE 311",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271088",
            "telephone_number": "336-210-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PATH RECOVERY AND WELLNESS SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CHARLETHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-210-3815",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.