Organization
A DIFFERENT PATH
Active
Other names
A Different Path
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AHISHA LEWIS MFT (EXECUTIVE DIRECTOR)
(916) 395-5023
Entity
Organization
Contact information
Practice address
7220 24TH ST BLDG 2, SACRAMENTO, CA 95822-4978
(916) 395-5023
Mailing address
5960 S LAND PARK DR STE 144, SACRAMENTO, CA 95822-3313
(916) 395-5023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/13/2022
Last updated
01/22/2025
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