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Contact Information

PHOENIX PATHWAYS LLC.
175 LANGLEY DRIVE
BUILDING E, SUITE 1
LAWRENCEVILLE, GA30046
 Phone: 470-715-3588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PHOENIX PATHWAYS LLC.

NPI # 1174355333
LBN Legal business name PHOENIX PATHWAYS LLC.
Authorized official JONITA MCKINNEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2024
Last updated 08/16/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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