Organization
BLENDED PATHS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN BRYANT THOMAS LCSW (OWNER)
(252) 269-9841
Entity
Organization
Contact information
Practice address
310 S TREE CT, NEWPORT, NC 28570-9532
(252) 269-9841
Mailing address
310 S TREE CT, NEWPORT, NC 28570-9532
(252) 269-9841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
11/18/2024
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