1073994182 NPI number — PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073994182 NPI number — PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073994182
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
122 GORDON COMMERCIAL DR STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAGRANGE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30240-5754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-845-4045
Provider Business Mailing Address Fax Number:
706-845-4367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 CORPORATE PARK DRIVE EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAGRANGE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-298-7800
Provider Business Practice Location Address Fax Number:
706-298-7850
Provider Enumeration Date:
06/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
HART
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
706-845-4045

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000599332CH , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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