Provider Demographics
NPI:1306456629
Name:WOODED PATH COUNSELING, LLC
Entity type:Organization
Organization Name:WOODED PATH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKLAROFF-VAN HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:494-273-2395
Mailing Address - Street 1:8133 EASTON RD # 108
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-1605
Mailing Address - Country:US
Mailing Address - Phone:484-273-2395
Mailing Address - Fax:
Practice Address - Street 1:8133 EASTON RD # 108
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-1605
Practice Address - Country:US
Practice Address - Phone:484-273-2395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-02
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty