Organization · NPI-2

A Path To Peace LLC

Counselor, Professional · Detroit, MI

NPI number1083259345
StatusActive
Last updated in NPPESFeb 7, 2020

Details

NPI
1083259345
Entity type
Organization (NPI-2)
Legal business name
A Path To Peace LLC
Organization subpart
No
Enumeration date
Nov 11, 2019
Certification date
Feb 7, 2020
Last updated
Feb 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

1010 Antietam Ave
Detroit, MI 48207-2832

Phone 231-343-0630

Mailing address

9339 Pine St
Taylor, MI 48180-3419

Phone 231-343-0630

Authorized official

Melba Lynette Clark
Licensed Professional Counselor
2313430630

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