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Organization
PRIME PATH RECOVERY AND WELLNESS SERVICES, LLC.
Active
Organization
PRIME PATH RECOVERY AND WELLNESS SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETHA RENEE BLAKE MSW (DIRECTOR)
(336) 210-3815
Entity
Organization
Contact information
Practice address
3100 E 45TH ST STE 311, CLEVELAND, OH 44127-1088
(336) 210-3815
Mailing address
2328 MILL LN, HIGH POINT, NC 27265-9184
(336) 210-3815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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