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Organization

MINDFUL PATH MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA CORRIGAN (OWNER/SERVICE PROVIDER)
(614) 955-1023
Entity
Organization

Contact information

Practice address
3 W MAIN ST STE 203, WESTERVILLE, OH 43081-2195
(614) 955-1023
Mailing address
3 W MAIN ST STE 203, WESTERVILLE, OH 43081-2195
(614) 955-1023

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0206378
OH
Enumeration date
06/10/2019
Last updated
06/10/2019
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