| Rpath, Llc | |
|
112 W Washington St Ste M08 Suffolk VA 23434-5246 | |
| (757) 918-4676 | |
| Not Available |
| Full Name | Rpath, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 112 W Washington St Ste M08, Suffolk, Virginia |
| Authorized Official Name and Position | Natasha Lena Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7579184676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rpath, Llc 112 W Washington St Ste M08 Suffolk VA 23434-5246 Ph: (757) 918-4676 | Rpath, Llc 112 W Washington St Ste M08 Suffolk VA 23434-5246 Ph: (757) 918-4676 |
| NPI Number | 1619504065 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619504065 | NPI | - | NPPES |
| 2869-05-001 | Other | VA | DBHDS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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