Provider Demographics
NPI:1114813607
Name:WELLNESS PATH COUNSELING PLLC
Entity type:Organization
Organization Name:WELLNESS PATH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:AMBIEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-222-6003
Mailing Address - Street 1:9501 N CAPITAL OF TEXAS HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9501 N CAPITAL OF TEXAS HWY STE 201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7250
Practice Address - Country:US
Practice Address - Phone:512-222-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty