| Clear Path Recovery Solutions | |
|
1939 Goldsmith Ln Ste 24 Louisville KY 40218-3177 | |
| (502) 708-0013 | |
| Not Available |
| Full Name | Clear Path Recovery Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 1939 Goldsmith Ln Ste 24, Louisville, Kentucky |
| Authorized Official Name and Position | Renesha Stone (OWNER) |
| Authorized Official Contact | 5027080013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Path Recovery Solutions 1939 Goldsmith Ln Ste 24 Louisville KY 40218-3177 | Clear Path Recovery Solutions 1939 Goldsmith Ln Ste 24 Louisville KY 40218-3177 Ph: (502) 708-0013 |
| NPI Number | 1548083355 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 5991229692 |
|---|---|
| Medicare Enrollment ID | O20250403001377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548083355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| Provider Name | Christy Elliott-cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396186086 PECOS PAC ID: 5991946014 Enrollment ID: I20130731000785 |
| Provider Name | Malisica T Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508536368 PECOS PAC ID: 3072905868 Enrollment ID: I20220128001521 |
| Provider Name | Renesha Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994291 PECOS PAC ID: 8022548791 Enrollment ID: I20250211000702 |
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