Provider Demographics
NPI:1275260622
Name:LIFEPATHS THERAPY, LLC
Entity type:Organization
Organization Name:LIFEPATHS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ROGERS VIARS
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW
Authorized Official - Phone:865-394-8052
Mailing Address - Street 1:1063 POPLAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-4516
Mailing Address - Country:US
Mailing Address - Phone:865-394-8052
Mailing Address - Fax:865-336-1993
Practice Address - Street 1:245 S PETERS RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5204
Practice Address - Country:US
Practice Address - Phone:865-394-8052
Practice Address - Fax:865-693-7454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty