Provider Demographics
NPI:1235957747
Name:A CLEAR PATH THERAPY SOLUTIONS LICENSED PROFESSIONAL CLINICAL
Entity type:Organization
Organization Name:A CLEAR PATH THERAPY SOLUTIONS LICENSED PROFESSIONAL CLINICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC 16993
Authorized Official - Phone:661-227-7375
Mailing Address - Street 1:38045 47TH ST E # 184
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-3108
Mailing Address - Country:US
Mailing Address - Phone:661-227-7375
Mailing Address - Fax:
Practice Address - Street 1:37551 DEVILLE ST
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-4643
Practice Address - Country:US
Practice Address - Phone:661-227-7375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty