| The Shepherds New Pathways, Llc | |
|
3003 Dawn Dr Ste 101 Georgetown TX 78628-2800 | |
| (254) 228-5830 | |
| (254) 598-2537 |
| Full Name | The Shepherds New Pathways, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3003 Dawn Dr Ste 101, Georgetown, Texas |
| Authorized Official Name and Position | Charles Thielepape (OWNER) |
| Authorized Official Contact | 2542285830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shepherds New Pathways, Llc 5293 S 31st St Ste 137 Temple TX 76502-3575 Ph: (254) 228-5830 | The Shepherds New Pathways, Llc 3003 Dawn Dr Ste 101 Georgetown TX 78628-2800 Ph: (254) 228-5830 |
| NPI Number | 1841813003 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 05/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841813003 | NPI | - | NPPES |
| 409273601 | Medicaid | TX | |
| 1356779706 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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