Organization
PATH TO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHYAMLI SHAH LPC (LICENSED PROFESSIONAL COUNSELOR)
(862) 222-3371
Entity
Organization
Contact information
Practice address
660 FOOTHILL RD, BRIDGEWATER, NJ 08807-1848
(862) 222-3371
Mailing address
660 FOOTHILL RD, BRIDGEWATER, NJ 08807-1848
(862) 222-3371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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