| Mended Path Counseling Services, Pllc | |
|
6141 W Amarillo Blvd Amarillo TX 79106-1901 | |
| (806) 236-5135 | |
| Not Available |
| Full Name | Mended Path Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6141 W Amarillo Blvd, Amarillo, Texas |
| Authorized Official Name and Position | Nathan Chris Bradley (OWNER) |
| Authorized Official Contact | 8062365135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Path Counseling Services, Pllc 6141 W Amarillo Blvd Amarillo TX 79106-1901 Ph: (806) 236-5135 | Mended Path Counseling Services, Pllc 6141 W Amarillo Blvd Amarillo TX 79106-1901 Ph: (806) 236-5135 |
| NPI Number | 1144673849 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144673849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 56497 (Texas) | Primary |
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