PATHWAYS ADDICTION RECOVERY, LLC (NPI# 1235616194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235616194 |
| Entity Type | Organization |
| Organization Name | PATHWAYS ADDICTION RECOVERY, LLC |
| Practice Address |
3801 Houma Blvd Ste 100 Metairie LA 70006-4185 |
| Practice Telephone | 5043098135 |
| Mailing Telephone | 5043098135 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DR. RICKY WAYNE PHILLIPS (CEO) |
| Authorized Official Telephone | 5043098135 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3801 HOUMA BLVD STE 100 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295916062 | Jefferson Headache and Spine,l.l.c. | Clinic/Center | 3800 Houma Blvd Ste 110, Metairie, LA 70006-4150 | 2007-11-20 |
| 1730290396 | Miguel P. Rivera, M.d. A.p.m.c. | Clinic/Center | 3939 Houma Blvd, Ste 216, Metairie, LA 70006-6673 | 2006-08-31 |
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| 1467050005 | Ochsner-acadia, LLC | Clinic/Center | 502 Rue De Sante Ste 203, La Place, LA 70068-5424 | 2020-10-15 |
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1487291944 | Sc Rehab | Clinic/Center | 1810 Florida Ave Sw Ste A, Denham Springs, LA 70726-4930 | 2019-12-04 |
| 1063071918 | Medical Pioneers, LLC | Clinic/Center | 100 Mariners Blvd Ste 1b, Mandeville, LA 70448-6815 | 2019-06-12 |
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1437660115 | Edge Medical Services Inc. | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
| 1912436213 | Third Hand Assisting Inc | Clinic/Center | Po Box 141, Talisheek, LA 70464-0141 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.