| Self-compassion Pathways Inc. | |
|
4385 Wardell Pl Apt 203 Orlando FL 32814-6170 | |
| (407) 968-6534 | |
| Not Available |
| Full Name | Self-compassion Pathways Inc. |
|---|---|
| Speciality | Counselor |
| Location | 4385 Wardell Pl Apt 203, Orlando, Florida |
| Authorized Official Name and Position | Coralis Solomon (OWNER) |
| Authorized Official Contact | 4079686534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-compassion Pathways Inc. 4385 Wardell Pl Apt 203 Orlando FL 32814-6170 Ph: (407) 968-6534 | Self-compassion Pathways Inc. 4385 Wardell Pl Apt 203 Orlando FL 32814-6170 Ph: (407) 968-6534 |
| NPI Number | 1750131959 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 7618317215 |
|---|---|
| Medicare Enrollment ID | O20240430002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750131959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Kristine Judith King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932800117 PECOS PAC ID: 0840632741 Enrollment ID: I20240523001547 |
| Provider Name | Coralis Solomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912437096 PECOS PAC ID: 9739521584 Enrollment ID: I20240523004105 |
| Provider Name | Lucia Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225784614 PECOS PAC ID: 5193167948 Enrollment ID: I20240523004124 |
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