| Organization Name: | INNER PATHWAYS PLLC |
| NPI Number: | 1225196181 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | K L MARTIN (MEMBER INNER PATHWAYS PLLC) |
| Mailing Address: | 29 Erlanger Road Erlanger |
| State: | KY US |
| Postal Code: | 41018 |
| Phone Number: | 8593426552 |
| Fax Number: | 8593426554 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 50510000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |