| New Path Llc | |
|
17214 Van Wagoner Rd Spring Lake MI 49456-9780 | |
| (231) 670-0663 | |
| Not Available |
| Full Name | New Path Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17214 Van Wagoner Rd, Spring Lake, Michigan |
| Authorized Official Name and Position | Dana Hood (OWNER) |
| Authorized Official Contact | 2316700663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Path Llc 17214 Van Wagoner Rd Spring Lake MI 49456-9780 Ph: (231) 670-0663 | New Path Llc 17214 Van Wagoner Rd Spring Lake MI 49456-9780 Ph: (231) 670-0663 |
| NPI Number | 1275053498 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275053498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401013674 (Michigan) | Primary |
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