Provider Demographics
NPI:1710556824
Name:AUTHENTIC PATH THERAPY AND CONSULTATION
Entity type:Organization
Organization Name:AUTHENTIC PATH THERAPY AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-587-4663
Mailing Address - Street 1:3327 CROWE HILL CIR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5933
Mailing Address - Country:US
Mailing Address - Phone:573-587-4663
Mailing Address - Fax:314-648-8814
Practice Address - Street 1:3327 CROWE HILL CIR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5933
Practice Address - Country:US
Practice Address - Phone:573-587-4663
Practice Address - Fax:314-648-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty