Organization
ON THE PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA COWART MA, LPC (OWNER)
(912) 322-0286
Entity
Organization
Contact information
Practice address
500 GEORGIA AVE, WOODBINE, GA 31569-3660
(912) 322-0286
Mailing address
500 GEORGIA AVE, WOODBINE, GA 31569-3660
(912) 322-0286
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
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
01/09/2019
Last updated
01/09/2019
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