PATHWAYS TO REVELATION, LLC NPI 1003419961

Counselor (Mental Health) in Clermont, FL

NPI 1003419961 Organization Counselor Mental Health

About PATHWAYS TO REVELATION, LLC

Pathways To Revelation, Llc is a provider established in Clermont, Florida specializing in counselor (mental health) . The NPI number of Pathways To Revelation, Llc is 1003419961 and was assigned on November 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Pathways To Revelation, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Miquia Chavonne Thompson Lmhc (Owner/therapist)

A mental health counselor like Pathways To Revelation, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

NPI

1003419961

Provider NamePATHWAYS TO REVELATION, LLC
Provider Location Address1064 W HIGHWAY 50 STE 219 CLERMONT, FL 34711
Provider Mailing Address877 W MINNEOLA AVE STE 120646 CLERMONT, FL 34711
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-20-2020
Last Update Date11-20-2020


Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health

Business Address

PATHWAYS TO REVELATION, LLC
1064 W HIGHWAY 50 STE 219
CLERMONT, FL
ZIP 34711
Phone: (407) 588-7466

Get Directions


Mailing Address

PATHWAYS TO REVELATION, LLC
877 W MINNEOLA AVE STE 120646
CLERMONT, FL
ZIP 34711
Phone: (407) 588-7466



Secondary Locations

1161 Parkwood Ave
Groveland, FL 34736
(407) 588-7466

Authorized Official

Authorized Official NameMS. MIQUIA CHAVONNE THOMPSON LMHC
Authorized Official TitleOWNER/THERAPIST
Authorized Official Phone(407) 588-7466

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.