PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH


Address: 153 Independence Drive, Carrollton, GA 30116-9000
Phone: 7708366678

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 000599332L 05

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 153 INDEPENDENCE DRIVE
City CARROLLTON
State GA
Zip Code 30116-9000

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CARROLLTON
Zip Code 30116

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Dataset Information

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.

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