| A Legacy Of Abundant Pathways Llc | |
|
2751 Chatwood Loop Blacklick OH 43004-3414 | |
| (614) 625-9912 | |
| (614) 625-9912 |
| Full Name | A Legacy Of Abundant Pathways Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2751 Chatwood Loop, Blacklick, Ohio |
| Authorized Official Name and Position | La'brena Simmons (OWNER) |
| Authorized Official Contact | 6146259912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Legacy Of Abundant Pathways Llc 2751 Chatwood Loop Blacklick OH 43004-3414 Ph: (614) 625-9912 | A Legacy Of Abundant Pathways Llc 2751 Chatwood Loop Blacklick OH 43004-3414 Ph: (614) 625-9912 |
| NPI Number | 1316739436 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316739436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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