Provider Demographics
NPI:1528765229
Name:NEW PATH THERAPY LLC
Entity type:Organization
Organization Name:NEW PATH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-910-2271
Mailing Address - Street 1:75 FAWCETT BLVD
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-3401
Mailing Address - Country:US
Mailing Address - Phone:908-910-2271
Mailing Address - Fax:
Practice Address - Street 1:125 S COOKS BRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2465
Practice Address - Country:US
Practice Address - Phone:908-910-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty