National Provider Identifier Database

FSL PATHWAYS
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

FSL PATHWAYS
14633 N 55TH AVENUE
PHOENIX, AZ85036
Phone: 602-789-1155
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for FSL PATHWAYS

NPI Number 1427114024
Legal business name
LBN
FSL PATHWAYS
Authorized official CHARNISE MOORE - (CHIEF PROGRAM OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/28/2006
Last updated 03/20/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH2216
  • AZ Medicaid: 762171
  • AZ Other: BH2216 ADHS BHS LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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