Organization
SAGE PATH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MULLOY LCMHC (OWNER)
(941) 321-8723
Entity
Organization
Contact information
Practice address
212 MONK RD, DURHAM, NC 27704-1402
(941) 321-8723
Mailing address
212 MONK RD, DURHAM, NC 27704-1402
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
05/09/2025
Last updated
05/09/2025
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