Organization Name: | STONE PATH COUNSELING, PLC |
NPI Number: | 1023414885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MYRNA BORBON YOUNG (MENTAL HEALTH COUNSELOR) |
Mailing Address: | 3291 S Thompson St Ste A105 Springdale |
State: | AR US |
Postal Code: | 727647344 |
Phone Number: | 4792258160 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |