| Pure Path Counseling Llc | |
|
4601 Baileys Ridge Dr Apt 6 Prince George VA 23875-1457 | |
| (804) 605-3963 | |
| Not Available |
| Full Name | Pure Path Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4601 Baileys Ridge Dr Apt 6, Prince George, Virginia |
| Authorized Official Name and Position | Ebony Johnson (OWNER) |
| Authorized Official Contact | 8046053963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Path Counseling Llc 4601 Baileys Ridge Dr Apt 6 Prince George VA 23875-1457 Ph: (804) 605-3963 | Pure Path Counseling Llc 4601 Baileys Ridge Dr Apt 6 Prince George VA 23875-1457 Ph: (804) 605-3963 |
| NPI Number | 1659266690 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 06/10/2025 |
| Certification Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659266690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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