| Pathways To Revelation, Llc | |
|
1064 W Highway 50 Ste 219 Clermont FL 34711-2835 | |
| (407) 588-7466 | |
| Not Available |
| Full Name | Pathways To Revelation, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1064 W Highway 50 Ste 219, Clermont, Florida |
| Authorized Official Name and Position | Miquia Chavonne Thompson (OWNER/THERAPIST) |
| Authorized Official Contact | 4075887466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Revelation, Llc 877 W Minneola Ave Ste 120646 Clermont FL 34711-2117 Ph: (407) 588-7466 | Pathways To Revelation, Llc 1064 W Highway 50 Ste 219 Clermont FL 34711-2835 Ph: (407) 588-7466 |
| NPI Number | 1003419961 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003419961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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