Organization
PATH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY J. BLEACHER (OWNER)
(330) 942-0677
Entity
Organization
Contact information
Practice address
8170 SOUTH AVE STE 7, YOUNGSTOWN, OH 44512-6434
(330) 942-0677
Mailing address
8170 SOUTH AVE STE 7, YOUNGSTOWN, OH 44512-6434
(330) 953-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226274
—
OH
05
—
1568440048
—
OH
01
—
I.0010155-SUPV
ELICENSE
OH
Enumeration date
12/01/2025
Last updated
05/08/2026
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