| Path To Change, Llc | |
|
314 Tribble Gap Rd Ste B Cumming GA 30040-2475 | |
| (770) 615-6115 | |
| (678) 403-0334 |
| Full Name | Path To Change, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 314 Tribble Gap Rd Ste B, Cumming, Georgia |
| Authorized Official Name and Position | Heather Cobb (OWNER) |
| Authorized Official Contact | 7706156115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Change, Llc 314 Tribble Gap Rd Ste B Cumming GA 30040-2475 Ph: (770) 615-6115 | Path To Change, Llc 314 Tribble Gap Rd Ste B Cumming GA 30040-2475 Ph: (770) 615-6115 |
| NPI Number | 1467987883 |
|---|---|
| Provider Enumeration Date | 04/23/2017 |
| Last Update Date | 04/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467987883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 007009 (Georgia) | Primary |
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