Organization
AUTHENTIC PATHWAYS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CAMPBELL (CREDENTIALING MANAGER)
(239) 257-7290
Entity
Organization
Contact information
Practice address
4440 BARNES RD STE 245, COLORADO SPRINGS, CO 80917-1564
(719) 428-7765
Mailing address
2660 FREDRICKSBURG DR, COLORADO SPRINGS, CO 80922-1122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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