| Authentic Path Therapy And Consultation | |
|
3218 Kage Hill Dr Cape Girardeau MO 63701-2114 | |
| (573) 587-4663 | |
| (314) 648-8814 |
| Full Name | Authentic Path Therapy And Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 3218 Kage Hill Dr, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Jennifer Grier (OWNER) |
| Authorized Official Contact | 5735874663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Path Therapy And Consultation 3218 Kage Hill Dr Cape Girardeau MO 63701-2114 Ph: (573) 587-4663 | Authentic Path Therapy And Consultation 3218 Kage Hill Dr Cape Girardeau MO 63701-2114 Ph: (573) 587-4663 |
| NPI Number | 1710556824 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 1456754878 |
|---|---|
| Medicare Enrollment ID | O20210722003230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710556824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Grier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831686260 PECOS PAC ID: 1052723079 Enrollment ID: I20201216002029 |
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