Organization
CREATE YOUR OWN PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR B MEAD LCSW (CEO)
(270) 779-5881
Entity
Organization
Contact information
Practice address
609 OLD HIGHWAY 60, HARDINSBURG, KY 40143-2511
(270) 779-5881
Mailing address
PO BOX 360, HARDINSBURG, KY 40143-0360
(270) 779-5881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us