| Your Path Teletherapy | |
|
7505 Craig Dr Fort Benning GA 31905-7905 | |
| (901) 273-7284 | |
| Not Available |
| Full Name | Your Path Teletherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7505 Craig Dr, Fort Benning, Georgia |
| Authorized Official Name and Position | Anastasia Jarrett (OWNER) |
| Authorized Official Contact | 9312737284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Path Teletherapy 7505 Craig Dr Fort Benning GA 31905-7905 Ph: (901) 273-7284 | Your Path Teletherapy 7505 Craig Dr Fort Benning GA 31905-7905 Ph: (901) 273-7284 |
| NPI Number | 1447911524 |
|---|---|
| Provider Enumeration Date | 01/01/2022 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447911524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |