Organization
RADICAL PATHWAYS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARKS LPC (OWNER)
(706) 669-3260
Entity
Organization
Contact information
Practice address
216 SAILORS DR STE 127, ELLIJAY, GA 30540-3747
(706) 669-3260
Mailing address
216 DOGWOOD DR, ELLIJAY, GA 30540-5527
(706) 669-3260
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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