PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH (NPI# 1760546543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760546543 |
Entity Type | Organization |
Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
Practice Address |
153 Independence Drive Carrollton GA 30116-9000 |
Mailing Address |
122 Gordon Commercial Drive Suite C Lagrange GA 30240-5740 |
Practice Telephone | 7708366678 |
Practice Fax Number | 7708302266 |
Mailing Telephone | 7068454045 |
Mailing Fax Number | 7068454367 |
Enumeration Date | 2006-12-19 |
Last Update Date | 2015-05-04 |
Authorized Official Name | JADE RUSSELL BENEFIELD (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7068454045 |
Authorized Official Credential | MBA |
Is Organization Subpart | Y |
Parent Organization Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000599332L | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659740041 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 999 W Main St Apt B, Manchester, GA 31816-1587 | 2015-09-16 |
1073999439 | Pathways Center for Behavioral and Developmental Growth | Day Training, Developmentally Disabled Services | 10 Lakeside Way, Apt 511, Newnan, GA 30265-1160 | 2015-08-07 |
1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
1427225655 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 1710 Highway 16 W, Griffin, GA 30223-7107 | 2008-05-16 |
1609075886 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 300 West 7th Street, West Point, GA 31833 | 2007-07-17 |
1588797799 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 122 Gordon Commercial Drive, Suite C, Lagrange, GA 30240-5740 | 2007-03-14 |
1124183082 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 101 Commerce Plaza, Suite 3, Barnesville, GA 30204-1680 | 2006-12-22 |
1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 |
Street Address |
153 INDEPENDENCE DRIVE |
City | CARROLLTON |
State | GA |
Zip Code | 30116-9000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
Find all providers in zip 30116 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609206796 | Quest Recovery and Prevention Services, Inc | Community/Behavioral Health | 245 2nd St Nw, Carrollton, OH 44615-1305 | 2013-11-26 |
1255644068 | Transitions Therapeutic Services of North Texas, Pllc | Community/Behavioral Health | 4009 Old Denton Rd Ste 114-115, Carrollton, TX 75007-1000 | 2010-07-21 |
1174589220 | Easter Seals North Texas, Inc. | Community/Behavioral Health | 4443 N Josey Ln, 100, Carrollton, TX 75010-4605 | 2006-04-25 |
1104348937 | Mindful Hearts Counseling, Pllc | Community/Behavioral Health | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-07-13 |
1104202456 | Ama Therapy & Co., Inc. | Community/Behavioral Health | 605 Newnan St, Carrollton, GA 30117-3428 | 2015-08-09 |
1740674563 | Warr On Wellness, LLC | Community/Behavioral Health | 4524 Lee St, Carrollton, TX 75010-4157 | 2015-03-19 |
1861750911 | Phoenix Resource Center, Inc. | Community/Behavioral Health | 506 Tanner St, Carrollton, GA 30117-3304 | 2012-04-26 |
1154568525 | Hartschuh & Associates, Inc. | Community/Behavioral Health | 3620 N Josey Ln, Suite 114, Carrollton, TX 75007-3151 | 2009-01-07 |
1972791853 | Theresa Masek,lpc | Community/Behavioral Health | 415 Dixie St, Carrollton, GA 30117-3921 | 2007-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
Find all providers with the same taxonomy |
City | CARROLLTON |
Zip Code | 30116 |
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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.