# NEW PATH WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497291181
- **Authorized official:** ANTOINE JACQUES (OWNER)
- **Authorized official phone:** (561) 814-3968

## Contact information

- **Practice address:** 3175 S CONGRESS AVE, 204, PALM SPRINGS, FL 33461-2500
- **Practice address phone:** (561) 814-3968
- **Mailing address:** 3175 S CONGRESS AVE, 204, PALM SPRINGS, FL 33461-2500
- **Mailing address phone:** (561) 814-3968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | — |
| 103TE1100X | Exercise & Sports Psychologist | — | — | — |
| 103TH0004X | Health Psychologist | — | NULL | — |
| 103TH0004X | Health Psychologist | — | — | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 103TP0814X | Psychoanalysis Psychologist | — | NULL | — |
| 103TP0814X | Psychoanalysis Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 103TR0400X | Rehabilitation Psychologist | — | NULL | — |
| 103TR0400X | Rehabilitation Psychologist | — | — | — |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 01/18/2017