| D B Paths Llc | |
|
165 Wells Rd Ste 203 Orange Park FL 32073-3036 | |
| (904) 269-3522 | |
| Not Available |
| Full Name | D B Paths Llc |
|---|---|
| Speciality | Counselor |
| Location | 165 Wells Rd Ste 203, Orange Park, Florida |
| Authorized Official Name and Position | Doris Benrey-boguslavsky (OWNER) |
| Authorized Official Contact | 9042693522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D B Paths Llc 3776 Fenwick Island Dr Jacksonville FL 32224-7963 Ph: (904) 269-3522 | D B Paths Llc 165 Wells Rd Ste 203 Orange Park FL 32073-3036 Ph: (904) 269-3522 |
| NPI Number | 1053100016 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 1153831946 |
|---|---|
| Medicare Enrollment ID | O20250610003911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053100016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Doris Benrey-boguslavsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992477731 PECOS PAC ID: 7719497510 Enrollment ID: I20250610004080 |
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