Pride Pathways Program
Pride Pathways Program is a Mental Health Counselor in Los Angeles, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
770 S Grand Ave Apt 2062Los Angeles, CA 90017-3931
Phone: (310) 602-7586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1023870094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenton Lipscomb — Chair Person · (256) 345-9006 |
| NPI enumerated | January 25, 2024 |
| Last updated in NPPES | March 15, 2024 |
| Certification date | March 15, 2024 |
| Mailing address | 3705 W Pico Blvd # 967, Los Angeles, CA 90019-3451 |
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