| Emerald Path Group LLC | |
|
20822 Riverside Dr Grundy VA 24614-9597 | |
| (276) 312-1563 | |
| Not Available |
| Full Name | Emerald Path Group LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 20822 Riverside Dr, Grundy, Virginia |
| Authorized Official Name and Position | Hayley Proffitt (OWNER) |
| Authorized Official Contact | 2763121563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Path Group LLC 20822 Riverside Dr Grundy VA 24614-9597 | Emerald Path Group LLC 20822 Riverside Dr Grundy VA 24614-9597 Ph: (276) 312-1563 |
| NPI Number | 1326965575 |
|---|---|
| Provider Enumeration Date | 06/30/2026 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326965575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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