New Pathways to Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW PATHWAYS TO WELLNESS, LLC

Practice address

205 Rockaway Ave # 1027
Valley Stream, NY 11580-5825

Phone

(516) 774-1341

Fax

(516) 531-8959

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Lakisha Fulmore, LMHC

Title

Licensed Mental Health Counselor

Phone

(516) 774-1341

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1891402673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROCKAWAY AVE # 1027",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805825",
            "telephone_number": "516-774-1341",
            "fax_number": "516-531-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROCKAWAY AVE # 1027",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805825",
            "telephone_number": "516-774-1341",
            "fax_number": "516-531-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATHWAYS TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "FULMORE",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "516-774-1341",
        "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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• Mental Health Counselor in Valley Stream, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.