| A Path To Change Counseling, Llc | |
|
221 Frontage Road Suite A Clermont FL 32714 | |
| (352) 356-5005 | |
| Not Available |
| Full Name | A Path To Change Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 221 Frontage Road Suite A, Clermont, Florida |
| Authorized Official Name and Position | Michael Edward Gilman (OWNER) |
| Authorized Official Contact | 3523565005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Path To Change Counseling, Llc Po Box 691978 Orlando FL 32869-1978 Ph: (352) 356-5005 | A Path To Change Counseling, Llc 221 Frontage Road Suite A Clermont FL 32714 Ph: (352) 356-5005 |
| NPI Number | 1619474251 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 07/10/2018 |
| Medicare PECOS PAC ID | 6305289091 |
|---|---|
| Medicare Enrollment ID | O20240209001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619474251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michael Gilman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518367192 PECOS PAC ID: 1052754751 Enrollment ID: I20240209001939 |
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