Organization · NPI-2

Clearpath Health LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Port Saint Lucie, FL

NPI number1679248462
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1679248462
Entity type
Organization (NPI-2)
Legal business name
Clearpath Health LLC
Organization subpart
No
Enumeration date
Aug 12, 2021
Certification date
Sep 2, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
251S00000X Community/Behavioral Health––
363LP0808X Nurse Practitioner, Psych/Mental Health––

Practice location

1837 Se Port St Lucie Blvd
Port Saint Lucie, FL 34952-5529

Phone 772-348-0900 · Fax 727-241-7050

Mailing address

2963 Gulf To Bay Blvd Ste 320
Clearwater, FL 33759-4286

Phone 727-241-8800 · Fax 727-241-7050

Authorized official

Tamara P Glynn
Ceo
7864797041

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